A Form 4 is filed within two business days of a company insider — an officer, a director, or a holder of more than ten percent of the stock — changing their position in the shares. All 13 filings in this group are Form 4s for Alphatec Holdings, Inc.
The difficulty with reading these filings as a group is that a single form type covers transactions that mean entirely different things. An executive spending their own money to buy stock and an executive having shares withheld to pay tax on a vesting grant both appear as a Form 4. Every filing below is therefore tagged with the nature of the underlying transaction, taken from the transaction code reported on the form itself.
Across the 13 insider filings shown, the breakdown is 6 compensation award, 4 open-market sale, 2 open-market purchase and 1 option exercise. 6 of them involved a discretionary open-market trade; the rest are compensation and administrative mechanics.
Form 4
Compensation award
Tax / Compensation Filing
2026-10-05
ATEC insider Form 4 filed for equity award, exercise, or tax withholding
Carls Thomas Andrew (EVP, Data & Imaging Solutions) filed a Form 4 covering compensation-related activity such as stock awards, option exercises, conversions, or tax withholding. These filings are usually neutral.
Shares were granted as compensation rather than purchased. No cash changed hands, so the filing reflects a pay decision by the company, not a judgement about the price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
A |
Compensation award
|
200,000 |
— |
— |
Filing: Form 4 (Insider Transaction)
Insider: Carls Thomas Andrew (EVP, Data & Imaging Solutions)
Shares: 200,000
Form 4
Open-market purchase
Insider Buying
2026-09-10
ATEC insider Miles Patrick (Director, CEO) bought 115,000 shares (~$1.01M)
Miles Patrick, listed as Director, CEO at Alphatec Holdings, Inc., reported an open-market purchase of 115,000 ATEC shares in a Form 4 filing. Insider buying is often treated as a bullish signal because company insiders are committing their own capital.
The insider bought shares on the open market with their own money. This is the only Form 4 category that requires a discretionary cash outlay at the prevailing price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
P |
Open-market purchase
|
115,000 |
$8.81 |
$1.01M |
Filing: Form 4 (Insider Transaction)
Insider: Miles Patrick (Director, CEO)
Shares: 115,000
Est. Value: $1.01M
Form 4
Open-market sale
Insider Selling
2026-08-07
ATEC insider Marshall Tyson Eliot (GENERAL COUNSEL & CORP. SEC.) sold 8,168 shares (~$78.8K)
Marshall Tyson Eliot, listed as GENERAL COUNSEL & CORP. SEC. at Alphatec Holdings, Inc., reported an open-market sale of 8,168 ATEC shares in a Form 4 filing. This is a confirmed insider sale, not just a proposed sale notice.
The insider sold shares on the open market. Sales may be discretionary or executed automatically under a pre-arranged Rule 10b5-1 trading plan, and a Form 4 does not always make clear which applies.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
S |
Open-market sale
|
8,168 |
$9.65 |
$78.8K |
Filing: Form 4 (Insider Transaction)
Insider: Marshall Tyson Eliot (GENERAL COUNSEL & CORP. SEC.)
Shares: 8,168
Est. Value: $78.8K
Form 4
Open-market sale
Insider Selling
2026-06-12
ATEC insider MCGINNIS KAREN K (Director) sold 6,050 shares (~$48.5K)
MCGINNIS KAREN K, listed as Director at Alphatec Holdings, Inc., reported an open-market sale of 6,050 ATEC shares in a Form 4 filing. This is a confirmed insider sale, not just a proposed sale notice.
The insider sold shares on the open market. Sales may be discretionary or executed automatically under a pre-arranged Rule 10b5-1 trading plan, and a Form 4 does not always make clear which applies.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
A |
Compensation award
|
32,012 |
— |
— |
S |
Open-market sale
|
6,050 |
$8.01 |
$48.5K |
Filing: Form 4 (Insider Transaction)
Insider: MCGINNIS KAREN K (Director)
Shares: 6,050
Est. Value: $48.5K
Form 4
Compensation award
Tax / Compensation Filing
2026-06-12
ATEC insider Form 4 filed for equity award, exercise, or tax withholding
Blackford Quentin S. (Director) filed a Form 4 covering compensation-related activity such as stock awards, option exercises, conversions, or tax withholding. These filings are usually neutral.
Shares were granted as compensation rather than purchased. No cash changed hands, so the filing reflects a pay decision by the company, not a judgement about the price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
A |
Compensation award
|
32,012 |
— |
— |
Filing: Form 4 (Insider Transaction)
Insider: Blackford Quentin S. (Director)
Shares: 32,012
Form 4
Compensation award
Tax / Compensation Filing
2026-06-12
ATEC insider Form 4 filed for equity award, exercise, or tax withholding
Valentine Keith (Director) filed a Form 4 covering compensation-related activity such as stock awards, option exercises, conversions, or tax withholding. These filings are usually neutral.
Shares were granted as compensation rather than purchased. No cash changed hands, so the filing reflects a pay decision by the company, not a judgement about the price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
A |
Compensation award
|
32,012 |
— |
— |
Filing: Form 4 (Insider Transaction)
Insider: Valentine Keith (Director)
Shares: 32,012
Form 4
Compensation award
Tax / Compensation Filing
2026-06-12
ATEC insider Form 4 filed for equity award, exercise, or tax withholding
Pelizzon David R (Director) filed a Form 4 covering compensation-related activity such as stock awards, option exercises, conversions, or tax withholding. These filings are usually neutral.
Shares were granted as compensation rather than purchased. No cash changed hands, so the filing reflects a pay decision by the company, not a judgement about the price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
A |
Compensation award
|
32,012 |
— |
— |
Filing: Form 4 (Insider Transaction)
Insider: Pelizzon David R (Director)
Shares: 32,012
Form 4
Compensation award
Tax / Compensation Filing
2026-06-12
ATEC insider Form 4 filed for equity award, exercise, or tax withholding
Demski David M (Director) filed a Form 4 covering compensation-related activity such as stock awards, option exercises, conversions, or tax withholding. These filings are usually neutral.
Shares were granted as compensation rather than purchased. No cash changed hands, so the filing reflects a pay decision by the company, not a judgement about the price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
A |
Compensation award
|
32,012 |
— |
— |
Filing: Form 4 (Insider Transaction)
Insider: Demski David M (Director)
Shares: 32,012
Form 4
Compensation award
Tax / Compensation Filing
2026-06-12
ATEC insider Form 4 filed for equity award, exercise, or tax withholding
Berkowitz Mortimer III (Director) filed a Form 4 covering compensation-related activity such as stock awards, option exercises, conversions, or tax withholding. These filings are usually neutral.
Shares were granted as compensation rather than purchased. No cash changed hands, so the filing reflects a pay decision by the company, not a judgement about the price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
A |
Compensation award
|
32,012 |
— |
— |
Filing: Form 4 (Insider Transaction)
Insider: Berkowitz Mortimer III (Director)
Shares: 32,012
Form 4
Open-market purchase
Insider Buying
2026-05-11
ATEC insider Valentine Keith (Director) bought 135,000 shares (~$996.2K)
Valentine Keith, listed as Director at Alphatec Holdings, Inc., reported an open-market purchase of 135,000 ATEC shares in a Form 4 filing. Insider buying is often treated as a bullish signal because company insiders are committing their own capital.
The insider bought shares on the open market with their own money. This is the only Form 4 category that requires a discretionary cash outlay at the prevailing price.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
P |
Open-market purchase
|
56,153 |
$7.49 |
$420.6K |
P |
Open-market purchase
|
43,847 |
$7.54 |
$330.6K |
P |
Open-market purchase
|
35,000 |
$7.00 |
$245.0K |
Filing: Form 4 (Insider Transaction)
Insider: Valentine Keith (Director)
Shares: 135,000
Est. Value: $996.2K
Form 4
Option exercise
Tax / Compensation Filing
2026-04-09
ATEC insider Form 4 filed for equity award, exercise, or tax withholding
Marshall Tyson Eliot (GENERAL COUNSEL & CORP. SEC.) filed a Form 4 covering compensation-related activity such as stock awards, option exercises, conversions, or tax withholding. These filings are usually neutral.
The insider converted options into shares. The exercise price was fixed when the options were granted, so the timing usually tracks an expiry schedule.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
M |
Option exercise
|
15,000 |
$1.98 |
$29.7K |
M |
Option exercise
|
15,000 |
$1.68 |
$25.2K |
M |
Option exercise
|
12,500 |
$3.34 |
$41.8K |
M |
Option exercise
|
60,000 |
$2.69 |
$161.4K |
F |
Tax withholding on vested shares
|
23,393 |
$11.03 |
$258.0K |
M |
Option exercise
derivative · Employee Stock Option (right to buy)
|
15,000 |
— |
— |
M |
Option exercise
derivative · Employee Stock Option (right to buy)
|
15,000 |
— |
— |
M |
Option exercise
derivative · Employee Stock Option (right to buy)
|
12,500 |
— |
— |
M |
Option exercise
derivative · Employee Stock Option (right to buy)
|
60,000 |
— |
— |
Filing: Form 4 (Insider Transaction)
Insider: Marshall Tyson Eliot (GENERAL COUNSEL & CORP. SEC.)
Shares: 125,893
Form 4
Open-market sale
Insider Selling
2026-03-17
ATEC insider Koning John Todd (CHIEF FINANCIAL OFFICER) sold 79,789 shares (~$986.2K)
Koning John Todd, listed as CHIEF FINANCIAL OFFICER at Alphatec Holdings, Inc., reported an open-market sale of 79,789 ATEC shares in a Form 4 filing. This is a confirmed insider sale, not just a proposed sale notice.
The insider sold shares on the open market. Sales may be discretionary or executed automatically under a pre-arranged Rule 10b5-1 trading plan, and a Form 4 does not always make clear which applies.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
S |
Open-market sale
|
79,789 |
$12.36 |
$986.2K |
Filing: Form 4 (Insider Transaction)
Insider: Koning John Todd (CHIEF FINANCIAL OFFICER)
Shares: 79,789
Est. Value: $986.2K
Form 4
Open-market sale
Insider Selling
2026-03-17
ATEC insider Lish Scott (CHIEF OPERATING OFFICER) sold 260,535 shares (~$3.20M)
Lish Scott, listed as CHIEF OPERATING OFFICER at Alphatec Holdings, Inc., reported an open-market sale of 260,535 ATEC shares in a Form 4 filing. This is a confirmed insider sale, not just a proposed sale notice.
The insider sold shares on the open market. Sales may be discretionary or executed automatically under a pre-arranged Rule 10b5-1 trading plan, and a Form 4 does not always make clear which applies.
Transactions reported on this filing
| Code |
Nature |
Shares |
Price |
Value |
S |
Open-market sale
|
260,535 |
$12.30 |
$3.20M |
Filing: Form 4 (Insider Transaction)
Insider: Lish Scott (CHIEF OPERATING OFFICER)
Shares: 260,535
Est. Value: $3.20M