ALPHATEC HLDGS INC ATEC
COM NEW · Common Stock · CUSIP 02081G201 · ISIN US02081G2012
- SectorHealth care
- IndustrySurgical & Medical Instruments & Apparatus
- HeadquartersCarlsbad, CA
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($816.5k this quarter). Holder counts are more reliable. Shares outstanding: 151.4m as of 2026-02-17, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $21.04. Options: 18 managers hold calls ($169.5m notional), 11 hold puts ($28.9m).
Trends to Q4 2025
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 164 |
| Q4 2022 | 182 |
| Q1 2023 | 184 |
| Q2 2023 | 211 |
| Q3 2023 | 203 |
| Q4 2023 | 208 |
| Q1 2024 | 226 |
| Q2 2024 | 220 |
| Q3 2024 | 217 |
| Q4 2024 | 229 |
| Q1 2025 | 231 |
| Q2 2025 | 239 |
| Q3 2025 | 274 |
| Q4 2025 | 284 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q1 2024 | 120 | 82 |
| Q2 2024 | 118 | 103 |
| Q3 2024 | 126 | 103 |
| Q4 2024 | 122 | 98 |
| Q1 2025 | 120 | 98 |
| Q2 2025 | 134 | 90 |
| Q3 2025 | 145 | 113 |
| Q4 2025 | 133 | 129 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2025 | $68.1m | $9.3m | 0.14 |
| Q2 2025 | $86.9m | $11.8m | 0.14 |
| Q3 2025 | $121.7m | $17.2m | 0.14 |
| Q4 2025 | $169.5m | $28.9m | 0.17 |
Biggest buyers
| MILLENNIUM MANAGEMENT LLC | Added | +1.7m |
| TREMBLANT CAPITAL GROUP | New | +1.6m |
| Driehaus Capital Management LLC | Added | +1.4m |
| Iron Triangle Partners LP | New | +1.3m |
| CITADEL ADVISORS LLC | Added | +1.2m |
| Hood River Capital Management LLC | New | +1.1m |
| Point72 Asset Management, L.P. | Added | +949.5k |
| MORGAN STANLEY | Added | +784.2k |
| M&G PLC | New | +669.3k |
| Freestone Grove Partners LP | New | +615.4k |
Biggest sellers
| BRAIDWELL LP | Sold out | -1.5m |
| MACQUARIE GROUP LTD | Sold out | -809.4k |
| PRUDENTIAL FINANCIAL INC | Reduced | -794.2k |
| INTRINSIC EDGE CAPITAL MANAGEMENT LLC | Reduced | -791.2k |
| BANK OF AMERICA CORP /DE/ | Reduced | -568.7k |
| Penn Capital Management Company, LLC | Reduced | -489.3k |
| Parkman Healthcare Partners LLC | Reduced | -419.8k |
| JPMORGAN CHASE & CO | Reduced | -312.3k |
| ROYCE & ASSOCIATES LP | Reduced | -252.0k |
| NEW YORK STATE COMMON RETIREMENT FUND | Reduced | -251.5k |
Biggest calls
| UBS Group AG | Unchanged | $109.7m5.2m shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $25.1m1.2m shares |
| Caption Management, LLC | Reduced | $8.3m394.0k shares |
| JANE STREET GROUP, LLC | Added | $4.6m217.3k shares |
| ROYAL BANK OF CANADA | Unchanged | $4.2m201.0k shares |
| CITADEL ADVISORS LLC | Reduced | $3.8m181.7k shares |
| GROUP ONE TRADING LLC | Added | $2.8m133.6k shares |
| IMC-Chicago, LLC | Added | $2.5m119.5k shares |
| J. Goldman & Co LP | New | $2.0m93.0k shares |
| SIMPLEX TRADING, LLC | Reduced | $1.6m74.9k shares |
Biggest puts
| ROYAL BANK OF CANADA | Added | $16.4m777.6k shares |
| INTRINSIC EDGE CAPITAL MANAGEMENT LLC | Reduced | $5.3m250.0k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $4.2m198.0k shares |
| CITADEL ADVISORS LLC | Reduced | $728.0k34.6k shares |
| Walleye Capital LLC | Added | $479.7k22.8k shares |
| GROUP ONE TRADING LLC | Added | $462.9k22.0k shares |
| JANE STREET GROUP, LLC | Reduced | $393.4k18.7k shares |
| IMC-Chicago, LLC | New | $315.6k15.0k shares |
| SIMPLEX TRADING, LLC | Added | $296.7k14.1k shares |
| GOLDMAN SACHS GROUP INC | New | $292.5k13.9k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| Squadron Capital LLC 13D · may seek influence filed 2025-12-17 | 8.9% |
Insider purchases and sales in Q4 2025
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q1 2024 | 2 | $459.6k | 5 | $6.9m | $6.9m |
| Q2 2024 | 0 | — | 2 | $1.0m | $480.8k |
| Q3 2024 | 4 | $1.2m | 0 | — | — |
| Q4 2024 | 0 | — | 2 | $1.6m | $1.6m |
| Q1 2025 | 0 | — | 5 | $6.9m | $6.4m |
| Q2 2025 | 0 | — | 4 | $4.0m | $3.2m |
| Q3 2025 | 0 | — | 6 | $10.4m | $9.4m |
| Q4 2025 | 0 | — | 8 | $37.8m | $10.0m |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2025-12-16 | Pelizzon David R Director · By Squadron Capital LLC | Sold | $4.9m250.0k shares |
| 2025-12-16 | Lish Scott CHIEF OPERATING OFFICER | Sold plan | $390.8k19.9k shares |
| 2025-12-11 | Demski David M Director | Sold | $636.0k30.0k shares |
| 2025-12-10 | Hunsaker Craig E EVP, PEOPLE & CULTURE | Sold | $679.1k32.6k shares |
| 2025-12-10 | Sponsel David EVP, SALES | Sold plan | $438.8k21.1k shares |
| 2025-12-09 | Pritzker Jennifer N. 10% owner · See footnote | Sold | $606.4k28.8k shares |
| 2025-12-09 | Squadron Capital Holdings LLC 10% owner · See footnote | Sold | $606.4k28.8k shares |
| 2025-12-09 | Pelizzon David R Director · By Squadron Capital LLC | Sold | $606.4k28.8k shares |
| 2025-12-09 | Squadron Capital LLC 10% owner | Sold | $606.4k28.8k shares |
| 2025-12-08 | Pritzker Jennifer N. 10% owner · See footnote | Sold | $4.7m221.2k shares |
| 2025-12-08 | Squadron Capital Holdings LLC 10% owner · See footnote | Sold | $4.7m221.2k shares |
| 2025-12-08 | Pelizzon David R Director · By Squadron Capital LLC | Sold | $4.7m221.2k shares |
| 2025-12-08 | Squadron Capital LLC 10% owner | Sold | $4.7m221.2k shares |
| 2025-12-08 | Sponsel David EVP, SALES | Sold | $21.2k988 shares |
| 2025-12-05 | Marshall Tyson Eliot GENERAL COUNSEL & CORP. SEC. | Sold plan | $491.5k22.9k shares |
| 2025-12-05 | Lish Scott CHIEF OPERATING OFFICER | Sold | $233.5k10.9k shares |
| 2025-12-01 | Miles Patrick CEO, director | Sold plan | $2.2m100.0k shares |
| 2025-11-24 | Squadron Capital Holdings LLC 10% owner · See footnote | Sold | $5.2m250.0k shares |
| 2025-11-24 | Pritzker Jennifer N. 10% owner · See footnote | Sold | $5.2m250.0k shares |
| 2025-11-24 | Pelizzon David R Director · By Squadron Capital LLC | Sold | $5.2m250.0k shares |
| 2025-11-24 | Squadron Capital LLC 10% owner | Sold | $5.2m250.0k shares |
| 2025-11-20 | Marshall Tyson Eliot GENERAL COUNSEL & CORP. SEC. | Sold | $1.4m70.0k shares |
| 2025-11-20 | Lish Scott CHIEF OPERATING OFFICER | Sold | $495.0k25.0k shares |
| 2025-11-12 | Pritzker Jennifer N. 10% owner · See footnote | Sold | $5.2m250.0k shares |
| 2025-11-12 | Squadron Capital Holdings LLC 10% owner · See footnote | Sold | $5.2m250.0k shares |
| 2025-11-12 | Pelizzon David R Director · By Squadron Capital LLC | Sold | $5.2m250.0k shares |
| 2025-11-12 | Squadron Capital LLC 10% owner | Sold | $5.2m250.0k shares |
| 2025-11-03 | Rydin Jeffrey P Director | Sold | $3.9m200.0k shares |
| 2025-11-03 | Miles Patrick CEO, director | Sold plan | $1.9m100.0k shares |
| 2025-10-31 | Hunsaker Craig E EVP, PEOPLE & CULTURE | Sold plan | $2.0m100.0k shares |
The latest 30 of 32 trades.
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q4 2025
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.00% of their portfolio | 10.2m $213.7m | Reduced -212.6k |
| VANGUARD GROUP INC 0.00% of their portfolio | 6.9m $144.8m | Added +68.6k |
| AMERICAN CENTURY COMPANIES INC 0.07% of their portfolio | 6.5m $137.0m | Added +173.0k |
| ROYAL BANK OF CANADA 0.02% of their portfolio | 4.9m $103.4m | Reduced -99.7k |
| MORGAN STANLEY 0.01% of their portfolio | 4.3m $91.3m | Added +784.2k |
| DEUTSCHE BANK AG\ 0.02% of their portfolio | 3.3m $70.3m | Added +220.8k |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. 0.08% of their portfolio | 3.2m $66.8m | Reduced -79.5k |
| STATE STREET CORP 0.00% of their portfolio | 2.9m $60.8m | Added +174.3k |
| Nuveen, LLC 0.02% of their portfolio | 2.9m $60.5m | Reduced -38.1k |
| Driehaus Capital Management LLC 0.41% of their portfolio | 2.9m $60.1m | Added +1.4m |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 2.8m $59.5m | Added +32.5k |
| NEXT CENTURY GROWTH INVESTORS LLC 3.53% of their portfolio | 2.4m $50.9m | Added +138.9k |
| MILLENNIUM MANAGEMENT LLC 0.03% of their portfolio | 2.2m $46.8m | Added +1.7m |
| GOLDMAN SACHS GROUP INC 0.01% of their portfolio | 2.1m $44.3m | Added +549.5k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 2.0m $42.5m | Reduced -568.7k |
| TWO SIGMA INVESTMENTS, LP 0.06% of their portfolio | 2.0m $41.4m | Added +173.9k |
| Cerity Partners LLC 0.06% of their portfolio | 1.8m $38.4m | Reduced -29.7k |
| EMERALD ADVISERS, LLC 1.06% of their portfolio | 1.6m $34.5m | Reduced -1.2k |
| TWO SIGMA ADVISERS, LP 0.07% of their portfolio | 1.6m $34.4m | Added +379.6k |
| TREMBLANT CAPITAL GROUP 0.87% of their portfolio | 1.6m $34.2m | New |
| Walleye Capital LLC 0.19% of their portfolio | 1.6m $32.9m | Reduced -122.1k |
| UBS Group AG 0.01% of their portfolio | 1.4m $29.7m | Added +161.3k |
| NORTHERN TRUST CORP 0.00% of their portfolio | 1.4m $29.0m | Reduced -106.2k |
| CITADEL ADVISORS LLC 0.02% of their portfolio | 1.3m $28.1m | Added +1.2m |
| Aberdeen Group plc 0.04% of their portfolio | 1.3m $27.1m | Added +294.8k |
| Iron Triangle Partners LP 3.09% of their portfolio | 1.3m $27.1m | New |
| Western Standard LLC 12.18% of their portfolio | 1.3m $26.4m | Unchanged |
| Granite Investment Partners, LLC 1.42% of their portfolio | 1.1m $24.0m | Reduced -238.9k |
| Hood River Capital Management LLC 0.26% of their portfolio | 1.1m $24.0m | New |
| Point72 Asset Management, L.P. 0.04% of their portfolio | 1.1m $23.1m | Added +949.5k |
| Penn Capital Management Company, LLC 1.80% of their portfolio | 1.1m $22.6m | Reduced -489.3k |
| OBERWEIS ASSET MANAGEMENT INC/ 0.77% of their portfolio | 1.0m $21.0m | Added +539.3k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.03% of their portfolio | 999.6k $21.0m | Reduced -251.5k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 995.7k $20.9m | Added +36.5k |
| Assenagon Asset Management S.A. 0.03% of their portfolio | 978.3k $20.6m | Added +227.9k |
| EMERALD MUTUAL FUND ADVISERS TRUST 0.93% of their portfolio | 910.1k $19.1m | Reduced -46.0k |
| MetLife Investment Management, LLC 0.09% of their portfolio | 908.1k $19.1m | Reduced -191.3k |
| NOMURA ASSET MANAGEMENT INTERNATIONAL INC. 0.03% of their portfolio | 890.0k $18.7m | First filing |
| TUDOR INVESTMENT CORP ET AL 0.10% of their portfolio | 887.8k $18.7m | Reduced -12.7k |
| RENAISSANCE TECHNOLOGIES LLC 0.03% of their portfolio | 870.1k $18.3m | Reduced -108.9k |
| Connor, Clark & Lunn Investment Management Ltd. 0.05% of their portfolio | 864.3k $18.2m | Added +117.0k |
| KING LUTHER CAPITAL MANAGEMENT CORP 0.07% of their portfolio | 860.2k $18.1m | Added +1.6k |
| Motley Fool Wealth Management, LLC 1.37% of their portfolio | 837.1k $17.6m | Reduced -130.9k |
| BNP PARIBAS FINANCIAL MARKETS 0.01% of their portfolio | 708.5k $14.9m | Added +71.9k |
| First Eagle Investment Management, LLC 0.03% of their portfolio | 676.1k $14.2m | Reduced -22.0k |
| M&G PLC 0.07% of their portfolio | 669.3k $14.1m | New |
| NORGES BANK 0.00% of their portfolio | 649.8k $13.7m | Not comparable |
| Defilade Capital Management, L.P. 1.79% of their portfolio | 626.8k $13.2m | First filing |
| Freestone Grove Partners LP 0.09% of their portfolio | 615.4k $12.9m | New |
| AQR CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 604.1k $12.7m | Reduced -4.5k |
| Jefferies Financial Group Inc. 0.10% of their portfolio | 595.9k $12.5m | Added +540.9k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 579.1k $12.2m | Reduced -312.3k |
| JANE STREET GROUP, LLC 0.01% of their portfolio | 577.2k $12.1m | Added +176.0k |
| BANK OF MONTREAL /CAN/ 0.00% of their portfolio | 558.8k $11.8m | Reduced -135.6k |
| FIRST TRUST ADVISORS LP 0.01% of their portfolio | 545.6k $11.5m | Added +99.9k |
| Motley Fool Asset Management LLC 0.44% of their portfolio | 541.4k $11.4m | Reduced -34.4k |
| INTRINSIC EDGE CAPITAL MANAGEMENT LLC 2.04% of their portfolio | 499.3k $10.5m | Reduced -791.2k |
| FMR LLC 0.00% of their portfolio | 480.6k $10.1m | Added +288.2k |
| Trexquant Investment LP 0.08% of their portfolio | 419.9k $8.8m | Reduced -24.4k |
| Rockefeller Capital Management L.P. 0.02% of their portfolio | 405.7k $8.5m | Reduced -15.1k |
| PDT Partners, LLC 0.55% of their portfolio | 400.9k $8.4m | Unchanged |
| Squarepoint Ops LLC 0.02% of their portfolio | 376.2k $7.9m | Reduced -217.8k |
| CONGRESS ASSET MANAGEMENT CO 0.06% of their portfolio | 373.6k $7.9m | Reduced -10.8k |
| Lisanti Capital Growth, LLC 1.86% of their portfolio | 372.4k $7.8m | Added +145.1k |
| SEI INVESTMENTS CO 0.01% of their portfolio | 368.8k $7.8m | Added +246.9k |
| HSBC HOLDINGS PLC 0.00% of their portfolio | 361.6k $7.6m | Reduced -10.9k |
| Bank of New York Mellon Corp 0.00% of their portfolio | 329.8k $6.9m | Added +11.2k |
| Kopp Family Office, LLC 4.41% of their portfolio | 328.7k $6.9m | Reduced -36.4k |
| Invesco Ltd. 0.00% of their portfolio | 317.1k $6.7m | Reduced -45.2k |
| PNC Financial Services Group, Inc. 0.00% of their portfolio | 313.7k $6.6m | Added +697 |
| ROYCE & ASSOCIATES LP 0.06% of their portfolio | 302.7k $6.4m | Reduced -252.0k |
| Rock Springs Capital Management LP 0.33% of their portfolio | 302.5k $6.4m | Unchanged |
| LPL Financial LLC 0.00% of their portfolio | 301.3k $6.3m | Reduced -62.0k |
| MERCER GLOBAL ADVISORS INC /ADV 0.01% of their portfolio | 296.4k $6.2m | Reduced -10.8k |
| CASTLEARK MANAGEMENT LLC 0.18% of their portfolio | 296.2k $6.2m | New |
| PRUDENTIAL FINANCIAL INC 0.01% of their portfolio | 294.5k $6.2m | Reduced -794.2k |
| Russell Investments Group, Ltd. 0.01% of their portfolio | 289.5k $6.1m | Reduced -25.9k |
| GREAT LAKES ADVISORS, LLC 0.05% of their portfolio | 278.7k $5.9m | Added +1.2k |
| Jump Financial, LLC 0.07% of their portfolio | 277.7k $5.8m | Reduced -91.2k |
| Parkman Healthcare Partners LLC 0.56% of their portfolio | 277.2k $5.8m | Reduced -419.8k |
| D. E. Shaw & Co., Inc. 0.00% of their portfolio | 270.1k $5.7m | Added +256.0k |
| OCCUDO QUANTITATIVE STRATEGIES LP 0.38% of their portfolio | 269.8k $5.7m | Added +189.3k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 265.3k $5.6m | Reduced -6.5k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.00% of their portfolio | 250.7k $5.3m | New |
| PANAGORA ASSET MANAGEMENT INC 0.02% of their portfolio | 237.8k $5.0m | Added +167.8k |
| Swiss National Bank 0.00% of their portfolio | 233.5k $4.9m | Added +6.8k |
| Pier Capital, LLC 0.77% of their portfolio | 229.8k $4.8m | New |
| Voleon Capital Management LP 0.10% of their portfolio | 229.7k $4.8m | Added +209.7k |
| Engineers Gate Manager LP 0.06% of their portfolio | 229.2k $4.8m | Reduced -85.7k |
| Informed Momentum Co LLC 0.50% of their portfolio | 212.3k $4.5m | Reduced -90.9k |
| BARCLAYS PLC 0.00% of their portfolio | 209.3k $4.4m | Added +26.8k |
| ALGERT GLOBAL LLC 0.07% of their portfolio | 209.2k $4.4m | Added +119.7k |
| FEDERATED HERMES, INC. 0.01% of their portfolio | 205.2k $4.3m | Added +150.9k |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND 0.01% of their portfolio | 203.0k $4.3m | Reduced -38.0k |
| MARATHON CAPITAL MANAGEMENT 0.90% of their portfolio | 198.9k $4.2m | Reduced -2.0k |
| OSSIAM 0.08% of their portfolio | 192.1k $4.0m | Unchanged |
| CANADA PENSION PLAN INVESTMENT BOARD 0.00% of their portfolio | 178.1k $3.7m | Added +6.4k |
| STATE OF WISCONSIN INVESTMENT BOARD 0.01% of their portfolio | 177.9k $3.7m | Added +143.0k |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.01% of their portfolio | 175.4k $3.7m | New |
| PERKINS CAPITAL MANAGEMENT INC 2.87% of their portfolio | 171.7k $3.6m | Reduced -1.6k |