ATECNasdaqSurgical & Medical Instruments & ApparatusFiscal year ends December 31
Alphatec Holdings, Inc.
Financials through Q2 FY2026, quarter ended Jun 30, 2026Last filing: 10-Q on Aug 4, 2026
$10.41−0.05 (-0.48%)
Close on Oct 19, 2026
- Market cap
- $1.63B
- P/E (TTM)
- –
- Dividend yield
- –
Ownership
Institutional holdings as of Jun 30, 2026, from 13F filings
Held by institutions
73.0%
113M of 154M shares
Institutional holders
267
40 new, 53 sold out
Net institutional buying
-0M
In Q2 2026
Insider trades, 12 months
4 buys · 43 sales
Net sold $93.76M
Shares held by institutions
Holders of more than 5%
Latest Schedule 13D (active) or 13G (passive) filed by each holder
| Holder | Shares | % of class | Filing | As of |
|---|---|---|---|---|
| L-5 Healthcare Partners, LLC | 7,699,315 | 5.30% | 13D (active) amendment | Apr 9, 2025 |
| BlackRock, Inc. | 7,692,936 | 5.60% | 13G (passive) | Dec 31, 2023 |
| Jennifer N. Pritzker | 13,215,781 | 8.90% | 13D (active) amendment | Dec 15, 2025 |
Top institutional holders
13F holdings as of Jun 30, 2026
| Holder | Shares | % of ATEC | Value | Change | % of portfolio |
|---|---|---|---|---|---|
| BlackRock, Inc. | 11,326,677 | 7.33% | $97.98M | +1,238,495 | 0.00% |
| Braidwell LP | 6,531,439 | 4.23% | $56.50M | +4,358,714 | 2.09% |
| American Century Companies Inc | 6,521,659 | 4.22% | $56.41M | +96,882 | 0.02% |
| Vanguard Capital Management LLC | 5,122,681 | 3.32% | $44.31M | +208,902 | 0.00% |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. | 3,536,538 | 2.29% | $30.59M | −79,792 | 0.03% |
| State Street Corp | 3,481,349 | 2.25% | $30.11M | +450,185 | 0.00% |
| Jacobs Levy Equity Management, Inc | 3,352,133 | 2.17% | $29.00M | New | 0.10% |
| Geode Capital Management, LLC | 3,188,894 | 2.06% | $27.59M | +282,472 | 0.00% |
| Royal Bank of Canada | 2,995,410 | 1.94% | $25.91M | −1,521,182 | 0.00% |
| Nuveen, LLC | 2,601,600 | 1.68% | $22.50M | −247,813 | 0.01% |
| Tremblant Capital Group | 2,577,799 | 1.67% | $22.30M | +385,715 | 0.64% |
| Citadel Advisors LLC | 2,461,400 | 1.59% | $21.29M | +1,604,061 | 0.00% |
| Aqr Capital Management LLC | 2,386,326 | 1.55% | $20.64M | +1,000,703 | 0.01% |
| Emerald Advisers, LLC | 2,104,451 | 1.36% | $18.20M | +297,144 | 0.43% |
| UBS Group AG | 2,018,823 | 1.31% | $17.46M | +74,138 | 0.00% |
| First Eagle Investment Management, LLC | 1,993,274 | 1.29% | $17.24M | +1,296,637 | 0.01% |
| Bank Of America Corp /De/ | 1,976,534 | 1.28% | $17.10M | −584,437 | 0.00% |
| Nomura Asset Management International Inc. | 1,974,452 | 1.28% | $17.08M | +682,345 | 0.03% |
| Cerity Partners LLC | 1,881,945 | 1.22% | $16.28M | +60,834 | 0.02% |
| Goldman Sachs Group Inc | 1,654,423 | 1.07% | $14.31M | −89,794 | 0.00% |
Institutional buying and selling by quarter
Positions opened, added to, reduced and closed by 13F filers
| Quarter | Holders | Shares held | % of shares | New / added | Reduced / closed | Shares bought | Shares sold |
|---|---|---|---|---|---|---|---|
| Q2 2026 | 267 | 113M | 73.0% | 40 / 108 | 83 / 53 | 26M | 27M |
| Q1 2026 | 285 | 113M | 73.2% | 56 / 109 | 78 / 50 | 26M | 24M |
| Q4 2025 | 284 | 120M | 77.5% | 44 / 99 | 101 / 28 | 22M | 10M |
| Q3 2025 | 274 | 109M | 70.4% | 61 / 86 | 91 / 23 | 16M | 13M |
| Q2 2025 | 238 | 106M | 68.6% | 33 / 104 | 66 / 24 | 22M | 18M |
| Q1 2025 | 230 | 102M | 66.1% | 42 / 80 | 66 / 34 | 27M | 7M |
| Q4 2024 | 228 | 85M | 54.9% | 46 / 84 | 66 / 32 | 17M | 19M |
| Q3 2024 | 216 | 87M | 56.4% | 43 / 87 | 58 / 44 | 24M | 25M |
| Q2 2024 | 218 | 97M | 62.8% | 34 / 88 | 65 / 38 | 16M | 16M |
| Q1 2024 | 224 | 98M | 63.3% | 44 / 79 | 61 / 21 | 14M | 12M |
| Q4 2023 | 206 | 97M | 62.6% | 37 / 94 | 43 / 26 | 36M | 10M |
| Q3 2023 | 201 | 71M | 45.9% | 31 / 75 | 53 / 37 | 11M | 11M |
Top mutual fund and ETF holders
Latest monthly portfolio reports (Form N-PORT)
| Fund | Shares | % of ATEC | Value | % of fund | As of |
|---|---|---|---|---|---|
| Small Cap Growth Fund | 4,902,028 | 3.17% | $46.67M | 0.84% | Jul 31, 2026 |
| Vanguard Total Stock Market Index Fund | 3,649,925 | 2.36% | $31.57M | 0.00% | Jun 30, 2026 |
| iShares Russell 2000 ETF | 3,223,712 | 2.09% | $27.89M | 0.03% | Jun 30, 2026 |
| Vanguard Mid-Cap Growth Fund | 2,196,274 | 1.42% | $20.91M | 0.78% | Jul 31, 2026 |
| Fidelity Small Cap Index Fund | 1,351,638 | 0.88% | $12.87M | 0.04% | Jul 31, 2026 |
| Vanguard Extended Market Index Fund | 1,345,307 | 0.87% | $11.64M | 0.01% | Jun 30, 2026 |
| Nomura Small Cap Growth Fund | 1,332,292 | 0.86% | $11.52M | 0.98% | Jun 30, 2026 |
| College Retirement Equities Fund - Total Global Stock Account | 1,316,021 | 0.85% | $11.38M | 0.01% | Jun 30, 2026 |
| iShares Russell 2000 Growth ETF | 1,145,158 | 0.74% | $9.91M | 0.06% | Jun 30, 2026 |
| Bridge Builder Small/Mid Cap Growth Fund | 886,930 | 0.57% | $7.67M | 0.07% | Jun 30, 2026 |
| First Eagle Small Cap Opportunity Fund | 875,414 | 0.57% | $8.33M | 0.29% | Jul 31, 2026 |
| Fidelity Enhanced Small Cap Core ETF | 771,112 | 0.50% | $6.67M | 0.12% | Jun 30, 2026 |
| abrdn U.S. Small Cap Equity Fund | 674,330 | 0.44% | $6.42M | 1.63% | Jul 31, 2026 |
| Emerald Growth Fund | 633,536 | 0.41% | $6.03M | 0.41% | Jul 31, 2026 |
| Emerald Growth Fund | 633,536 | 0.41% | $6.18M | 0.44% | Apr 30, 2026 |
Officers, directors and major owners
People who filed Forms 3, 4 or 5 in the last two years
| Name | Role | Shares owned | % of shares | Latest filing |
|---|---|---|---|---|
| Patrick Miles | CEO, Director | 6,154,451 | 3.98% | Sep 10, 2026 |
| Thomas Andrew Carls | EVP, Data & Imaging Solutions | 2,520 | 0.00% | Sep 24, 2026 |
| Tyson Eliot Marshall | GENERAL COUNSEL & CORP. SEC. | 630,398 | 0.41% | Aug 7, 2026 |
| John Todd Koning | CHIEF FINANCIAL OFFICER | 600,721 | 0.39% | Mar 17, 2026 |
| Scott Lish | CHIEF OPERATING OFFICER | 815,704 | 0.53% | Mar 17, 2026 |
| David Sponsel | EVP, SALES | 504,932 | 0.33% | Mar 13, 2026 |
| Craig E. Hunsaker | EVP, PEOPLE & CULTURE | 1,725,609 | 1.12% | Mar 10, 2026 |
| Karen K. McGinnis | Director | 94,671 | 0.06% | Jun 12, 2026 |
| David R. Pelizzon | Director | 10,773,884 | 6.98% | Jun 12, 2026 |
| Keith Valentine | Director | 264,283 | 0.17% | Jun 12, 2026 |
| Quentin S. Blackford | Director | 600,381 | 0.39% | Jun 12, 2026 |
| Mortimer Berkowitz III | Director | 1,261,164 | 0.82% | Jun 12, 2026 |
| David M. Demski | Director | 431,635 | 0.28% | Jun 12, 2026 |
| Jeffrey P. Rydin | Director | 385,441 | 0.25% | Nov 5, 2025 |
| Ward W. Woods Jr | Director | 2,210,602 | 1.43% | Jun 13, 2025 |
| Capital LLC Squadron | 10% owner | 10,645,045 | 6.89% | Dec 10, 2025 |
| Capital Holdings LLC Squadron | 10% owner | 10,645,045 | 6.89% | Dec 10, 2025 |
| Jennifer N. Pritzker | 10% owner | 10,713,045 | 6.94% | Dec 10, 2025 |
Insider trades
Common stock transactions reported on Form 4, newest first
| Insider | Date | Transaction | Shares | Price | Value | Shares after |
|---|---|---|---|---|---|---|
| Patrick Miles CEO, Director | Sep 10, 2026 | Buy | +115,000 | $8.81 | $1.01M | 5,893,551 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Aug 5, 2026 | Sale(10b5-1 plan) | −8,168 | $9.65 | $78.82K | 630,398 |
| Karen K. McGinnis Director | Jun 11, 2026 | Sale(10b5-1 plan) | −6,050 | $8.01 | $48.46K | 94,671 |
| David R. Pelizzon Director | Jun 10, 2026 | Award | +32,012 | – | – | 378,839 |
| Karen K. McGinnis Director | Jun 10, 2026 | Award | +32,012 | – | – | 100,721 |
| David M. Demski Director | Jun 10, 2026 | Award | +32,012 | – | – | 431,635 |
| Keith Valentine Director | Jun 10, 2026 | Award | +32,012 | – | – | 264,283 |
| Quentin S. Blackford Director | Jun 10, 2026 | Award | +32,012 | – | – | 600,381 |
| Mortimer Berkowitz III Director | Jun 10, 2026 | Award | +32,012 | – | – | 650,062 |
| Keith Valentine Director | May 11, 2026 | Buy | +35,000 | $7.00 | $245.00K | 232,271 |
| Keith Valentine Director | May 8, 2026 | Buy | +43,847 | $7.54 | $330.61K | 197,271 |
| Keith Valentine Director | May 7, 2026 | Buy | +56,153 | $7.49 | $420.59K | 153,424 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Apr 7, 2026 | Option exercise | +15,000 | $1.98 | $29.70K | 574,459 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Apr 7, 2026 | Option exercise | +15,000 | $1.68 | $25.20K | 589,459 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Apr 7, 2026 | Option exercise | +12,500 | $3.34 | $41.75K | 601,959 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Apr 7, 2026 | Option exercise | +60,000 | $2.69 | $161.40K | 661,959 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Apr 7, 2026 | Tax withholding | −23,393 | $11.03 | $258.02K | 638,566 |
| John Todd Koning CHIEF FINANCIAL OFFICER | Mar 13, 2026 | Sale(10b5-1 plan) | −79,789 | $12.36 | $986.19K | 600,721 |
| Scott Lish CHIEF OPERATING OFFICER | Mar 13, 2026 | Sale | −260,535 | $12.30 | $3.20M | 815,704 |
| David Sponsel EVP, SALES | Mar 11, 2026 | Sale(10b5-1 plan) | −163,452 | $12.52 | $2.05M | 504,932 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Mar 9, 2026 | Gift | −600 | – | – | 1,725,609 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Mar 9, 2026 | Sale(10b5-1 plan) | −82,765 | $12.45 | $1.03M | 1,726,209 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Mar 6, 2026 | Sale(10b5-1 plan) | −33,602 | $12.22 | $410.62K | 1,808,974 |
| Patrick Miles CEO, Director | Mar 5, 2026 | Tax withholding | −219,749 | $12.57 | $2.76M | 5,778,551 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Mar 5, 2026 | Sale(10b5-1 plan) | −88,835 | $12.49 | $1.11M | 559,459 |
| John Todd Koning CHIEF FINANCIAL OFFICER | Mar 5, 2026 | Tax withholding | −68,910 | $12.57 | $866.20K | 680,510 |
| John Todd Koning CHIEF FINANCIAL OFFICER | Feb 25, 2026 | Award | +205,094 | – | – | 618,646 |
| John Todd Koning CHIEF FINANCIAL OFFICER | Feb 25, 2026 | Award | +110,394 | – | – | 729,040 |
| John Todd Koning CHIEF FINANCIAL OFFICER | Feb 25, 2026 | Award | +20,380 | – | – | 749,420 |
| David Sponsel EVP, SALES | Feb 25, 2026 | Award | +20,380 | – | – | 668,384 |
| David Sponsel EVP, SALES | Feb 25, 2026 | Award | +93,410 | – | – | 648,004 |
| David Sponsel EVP, SALES | Feb 25, 2026 | Award | +205,094 | – | – | 554,594 |
| Patrick Miles CEO, Director | Feb 25, 2026 | Award | +611,673 | – | – | 5,643,680 |
| Patrick Miles CEO, Director | Feb 25, 2026 | Award | +48,913 | – | – | 5,998,300 |
| Patrick Miles CEO, Director | Feb 25, 2026 | Award | +305,707 | – | – | 5,949,387 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Feb 25, 2026 | Award | +205,094 | – | – | 550,536 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Feb 25, 2026 | Award | +12,840 | – | – | 648,294 |
| Tyson Eliot Marshall GENERAL COUNSEL & CORP. SEC. | Feb 25, 2026 | Award | +84,918 | – | – | 635,454 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 25, 2026 | Award | +20,992 | – | – | 1,842,576 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 25, 2026 | Award | +127,378 | – | – | 1,821,584 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 25, 2026 | Award | +311,110 | – | – | 1,694,206 |
| Scott Lish CHIEF OPERATING OFFICER | Feb 25, 2026 | Award | +311,110 | – | – | 927,869 |
| Scott Lish CHIEF OPERATING OFFICER | Feb 25, 2026 | Award | +127,378 | – | – | 1,055,247 |
| Scott Lish CHIEF OPERATING OFFICER | Feb 25, 2026 | Award | +20,992 | – | – | 1,076,239 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 12, 2026 | Option exercise | +20,969 | $3.09 | $64.79K | 1,424,201 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 12, 2026 | Option exercise | +78,249 | $2.69 | $210.49K | 1,403,232 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 12, 2026 | Tax withholding | −41,105 | $13.10 | $538.48K | 1,383,096 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 12, 2026 | Option exercise | +31,710 | $1.93 | $61.20K | 1,204,735 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 12, 2026 | Option exercise | +120,248 | $1.68 | $202.02K | 1,324,983 |
| David Sponsel EVP, SALES | Feb 5, 2026 | Sale(10b5-1 plan) | −60,425 | $13.79 | $833.26K | 349,500 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Feb 3, 2026 | Sale(10b5-1 plan) | −37,358 | $14.71 | $549.54K | 1,173,025 |
| Patrick Miles CEO, Director | Jan 5, 2026 | Sale(10b5-1 plan) | −100,000 | $21.01 | $2.10M | 5,135,398 |
| Scott Lish CHIEF OPERATING OFFICER | Dec 16, 2025 | Sale(10b5-1 plan) | −19,900 | $19.64 | $390.84K | 641,432 |
| David R. Pelizzon Director | Dec 16, 2025 | Sale | −250,000 | $19.66 | $4.92M | 10,395,045 |
| David M. Demski Director | Dec 11, 2025 | Sale | −30,000 | $21.20 | $636.00K | 399,623 |
| David Sponsel EVP, SALES | Dec 10, 2025 | Sale(10b5-1 plan) | −21,106 | $20.79 | $438.79K | 439,767 |
| Craig E. Hunsaker EVP, PEOPLE & CULTURE | Dec 10, 2025 | Sale | −32,584 | $20.84 | $679.05K | 1,256,558 |
| Capital Holdings LLC Squadron 10% owner | Dec 9, 2025 | Sale | −28,834 | $21.03 | $606.38K | 10,645,045 |
| Jennifer N. Pritzker 10% owner | Dec 9, 2025 | Sale | −28,834 | $21.03 | $606.38K | 10,645,045 |
| Capital LLC Squadron 10% owner | Dec 9, 2025 | Sale | −28,834 | $21.03 | $606.38K | 10,645,045 |
Awards, option exercises, tax withholding and gifts are shown alongside open-market buys and sales. Each name links to the filing on SEC EDGAR.
Planned insider sales
Notices of proposed sale filed on Form 144 before shares are sold
| Seller | Filed | Shares | Market value | Planned sale | Acquired through |
|---|---|---|---|---|---|
| Marshall Tyson Officer | Aug 5, 2026 | 8,168 | $84.54K | Aug 5, 2026 | Restricted Stock Units |
| Karen K. McGinnis Director | Jun 11, 2026 | 6,050 | $48.46K | Jun 11, 2026 | VESTING RSU's |
| Lish Scott Officer | Mar 13, 2026 | 260,535 | $3.21M | Mar 13, 2026 | Performance Stock Units |
| Todd Koning John Officer | Mar 13, 2026 | 79,789 | $997.36K | Mar 13, 2026 | Restricted Stock Units & Performance Stock Units |
| Sponsel David Officer | Mar 11, 2026 | 163,452 | $2.04M | Mar 11, 2026 | Performance Stock Units |
| Hunsaker Craig officer | Mar 6, 2026 | 95,000 | $1.16M | Mar 6, 2026 | RSU |
| Marshall Tyson Officer | Mar 5, 2026 | 88,835 | $1.15M | Mar 5, 2026 | Restricted Stock Units |
| Sponsel David Officer | Feb 5, 2026 | 60,425 | $849.58K | Feb 5, 2026 | Performance Stock Units |
| Hunsaker Craig officer | Feb 3, 2026 | 37,358 | $548.20K | Feb 3, 2026 | RSU |
| Miles Patrick Director, Officer | Jan 5, 2026 | 300,000 | $6.23M | Jan 5, 2026 | Restricted Stock Units |
| Lish Scott Officer | Dec 16, 2025 | 19,900 | $392.23K | Dec 16, 2025 | Restricted Stock Units |
| David M. Demski Director | Dec 11, 2025 | 30,000 | $630.50K | Dec 11, 2025 | Open Market Purchase |
| Sponsel David Officer | Dec 10, 2025 | 21,106 | $436.26K | Dec 10, 2025 | Restricted Stock Units |
| Lish Scott Officer | Dec 5, 2025 | 10,875 | $233.60K | Dec 5, 2025 | Restricted stock vesting under a registered plan |
| Marshall Tyson Officer | Dec 5, 2025 | 9,924 | $213.27K | Dec 5, 2025 | Restricted stock vesting under a registered plan |