Alphatec (ATEC) COO receives large time- and performance-based RSU awards

Rhea-AI Filing Summary

Lish Scott reported acquisition or exercise transactions in this Form 4 filing.

Alphatec Holdings, Inc. chief operating officer Scott Lish reported several equity awards on February 25, 2026. He received 311,110 restricted stock units tied to previously set 2025 performance goals, 127,378 time-based RSUs, and 20,992 RSUs granted in lieu of part of his 2025 cash bonus. He also received performance-based RSU awards of up to 63,689 units that vest only if Alphatec’s stock reaches 30-day average prices of $25 or $36 per share or specific operational targets are achieved by dates through 2030. These are stock grants, not open-market share purchases or sales.

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Lish Scott

(Last) (First) (Middle)

C/O ALPHATEC SPINE, INC.

1950 CAMINO VIDA ROBLE

(Street)

CARLSBAD CA 92008

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Alphatec Holdings, Inc. [ ATEC ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director		10% Owner
X	Officer (give title below)		Other (specify below)
	CHIEF OPERATING OFFICER

3. Date of Earliest Transaction (Month/Day/Year)
02/25/2026

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock(1)(2)	02/25/2026		A(1)		311,110(1)	A	$0	927,869(3)	D
Common Stock(2)(4)	02/25/2026		A(4)		127,378(4)	A	$0	1,055,247	D
Common Stock(2)(5)	02/25/2026		A(5)		20,992(5)	A	(5)	1,076,239	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Restricted Stock Units(6)	(2)	02/25/2026		A(6)		63,689(6)		(6)	(6)	Common Stock	63,689	$0	63,689	D
Restricted Stock Units(7)	(2)	02/25/2026		A(7)		63,689(7)		(7)	(7)	Common Stock	63,689	$0	63,689	D

Explanation of Responses:

1. On February 25, 2026, the issuer awarded 311,110 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.

2. Each RSU represents a contingent right to receive one share of the issuer's common stock.

3. Includes 368 shares acquired under issuer's employee stock purchase plan on November 14, 2025 and also reflects the forfeiture of 25,041 previously reported RSUs for failure to satisfy applicable performance criteria.

4. On February 25, 2026, the issuer awarded 127,378 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.

5. On February 25, 2026, the issuer granted 20,992 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.

6. On February 25, 2026, the issuer granted to the reporting person an award of up to 63,689 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.

7. On February 25, 2026, the issuer granted to the reporting person an award of up to 63,689 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.

	/s/ Tyson E. Marshall, Attorney-in-Fact	02/27/2026
	** Signature of Reporting Person	Date
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FAQ

What insider transactions did Alphatec (ATEC) report for Scott Lish on February 25, 2026?

On February 25, 2026, Alphatec’s COO Scott Lish reported multiple equity awards, including 311,110 performance-based restricted stock units, 127,378 time-based RSUs, 20,992 RSUs granted instead of part of his 2025 cash bonus, and additional performance-based RSUs of up to 63,689 units.

How do Scott Lish’s 311,110 performance-based RSUs at Alphatec (ATEC) vest?

The 311,110 RSUs were awarded after Alphatec’s compensation committee confirmed certain 2025 performance criteria. These RSUs vest in three equal installments on March 5, 2026, March 5, 2027, and March 5, 2028, providing multi-year equity-based compensation tied to prior performance achievements.

What are the vesting terms for the 127,378 RSUs granted to Alphatec (ATEC) COO Scott Lish?

Scott Lish’s 127,378 restricted stock units vest in three equal installments on March 5, 2027, March 5, 2028, and March 5, 2029. This award functions as time-based equity compensation, encouraging continued service and long-term alignment with Alphatec shareholder interests over several years.

Why did Alphatec (ATEC) grant 20,992 RSUs to Scott Lish instead of cash?

Alphatec granted 20,992 RSUs to Scott Lish in lieu of a portion of his 2025 cash bonus. The RSUs vest on December 4, 2026, with the grant size based on the 30-day average trading price of Alphatec’s common stock as of February 25, 2026.

What performance conditions apply to Scott Lish’s 63,689 performance-based RSUs at Alphatec (ATEC)?

The award of up to 63,689 performance-based RSUs vests only if Alphatec’s stock achieves 30-day average prices of at least $25 or $36 per share by specified dates, or if certain operational metrics determined by the compensation committee are met by December 31, 2028 or December 31, 2030.

Did the Form 4 for Alphatec (ATEC) COO Scott Lish report any stock sales?

The Form 4 reports only equity awards and acquisitions for Scott Lish, not open-market stock sales. All transactions are coded as grants or other acquisitions of restricted stock units and common stock, reflecting compensation-related awards rather than discretionary buying or selling activity in the market.