Tyson E. Marshall - 25 Feb 2026 Form 4 Insider Report for Alphatec Holdings, Inc. (ATEC)

Role: GENERAL COUNSEL & CORP. SEC.
Signature: /s/ Tyson E. Marshall
Issuer symbol: ATEC
Transactions as of: 25 Feb 2026
Net transactions value: $0
Form type: 4
Filing time: 27 Feb 2026, 21:30:17 UTC
Previous filing: 09 Dec 2025
Next filing: 09 Mar 2026
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Marshall Tyson Eliot	GENERAL COUNSEL & CORP. SEC.	C/O ALPHATEC SPINE, INC., 1950 CAMINO VIDA ROBLE, CARLSBAD	/s/ Tyson E. Marshall	27 Feb 2026	0001666669

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ATEC	Common Stock	Award	$0	+205,094	+59%	$0.000000	550,536	25 Feb 2026	Direct	F1, F2
transaction	ATEC	Common Stock	Award	$0	+84,918	+15%	$0.000000	635,454	25 Feb 2026	Direct	F2, F3
transaction	ATEC	Common Stock	Award		+12,840	+2%		648,294	25 Feb 2026	Direct	F2, F4

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	ATEC	Restricted Stock Units	Award	$0	+42,459		$0.000000	42,459	25 Feb 2026	Common Stock	42,459		Direct	F2, F5
transaction	ATEC	Restricted Stock Units	Award	$0	+42,459		$0.000000	42,459	25 Feb 2026	Common Stock	42,459		Direct	F2, F6

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	On February 25, 2026, the issuer awarded 205,094 restricted stock units (RSUs) to the reporting person under a performance based award granted to the reporting person on January 29, 2025 upon confirmation by the issuer's compensation committee of satisfaction of certain performance criteria for the fiscal year ended December 31, 2025. The RSUs vest in three equal installments on each of March 5, 2026, March 5, 2027 and March 5, 2028.
F2	Each RSU represents a contingent right to receive one share of the issuer's common stock.
F3	On February 25, 2026, the issuer awarded 84,918 RSUs to the reporting person. The RSUs vest in three equal installments on each of March 5, 2027, March 5, 2028 and March 5, 2029.
F4	On February 25, 2026, the issuer granted 12,840 RSUs to the reporting person in connection with the issuer's election to grant RSUs to the reporting person in lieu of a portion of the reporting person's 2025 cash bonus. The grant was approved and adopted by the issuer's compensation committee on February 25, 2026. The RSUs vest December 4, 2026. The grant amount was determined using the 30-day average trading price of the issuer's common stock as of close of market on February 25, 2026.
F5	On February 25, 2026, the issuer granted to the reporting person an award of up to 42,459 performance-based RSUs. The RSUs vest upon the issuer's (i) common stock achieving a 30-day average trading price of at least $25.00 per share at any time prior to December 31, 2028, (ii) common stock achieving a 30-day average trading price of at least $36.00 per share at any time prior to December 31, 2030, (iii) achievement of certain operational metrics determined by the issuer's compensation committee measured as of December 31, 2028, or (iv) achievement of certain operational metrics determined by the issuer's compensation committee measured as of December 31, 2030.
F6	On February 25, 2026, the issuer granted to the reporting person an award of up to 42,459 performance-based RSUs. The RSUs vest upon the issuer's (i) common stock achieving a 30-day average trading price of at least $36.00 per share at any time prior to December 31, 2030, or (ii) achievement of certain operational metrics determined by the issuer's compensation committee measured as of December 31, 2030.