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ATEC Reports $214 Million Second Quarter Revenue, Reaffirms 2026 Outlook

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Alphatec Holdings (ATEC) reported second-quarter 2026 total revenue of $214 million, up 15% year over year, for the quarter ended June 30, 2026. The company posted a GAAP net loss of $26 million and GAAP operating expenses of $156 million.

ATEC reaffirmed its full-year 2026 revenue outlook of approximately $882 million and raised adjusted EBITDA guidance to approximately $140 million. The company also said it continues to expect at least $20 million of free cash flow for fiscal 2026.

  • Total revenue was $214 million, up 15% year over year.
  • Surgical revenue was $196 million, up 17%, driven by 20% case volume growth.
  • GAAP gross margin was 72.2%.
  • Non-GAAP adjusted EBITDA was $36 million, or 16.8% of revenue.
  • Ending cash balance was $119 million.
  • Full-year 2026 revenue outlook remains approximately $882 million.

$ATEC Insider Trading Activity

ATEC Insider Trades

$ATEC insiders have traded $ATEC stock on the open market 9 times in the past 6 months. Of those trades, 0 have been purchases and 9 have been sales.

Here’s a breakdown of recent trading of $ATEC stock by insiders over the last 6 months:

  • SCOTT LISH (CHIEF OPERATING OFFICER) sold 260,535 shares for an estimated $3,204,580
  • DAVID SPONSEL (EVP, SALES) has made 0 purchases and 2 sales selling 223,877 shares for an estimated $2,879,679.
  • CRAIG E HUNSAKER (EVP, PEOPLE & CULTURE) has made 0 purchases and 3 sales selling 153,725 shares for an estimated $1,990,576.
  • TYSON ELIOT MARSHALL (GENERAL COUNSEL & CORP. SEC.) sold 88,835 shares for an estimated $1,109,549
  • JOHN TODD KONING (CHIEF FINANCIAL OFFICER) sold 79,789 shares for an estimated $986,192
  • KAREN K MCGINNIS sold 6,050 shares for an estimated $48,460

To track insider transactions, check out Quiver Quantitative's insider trading dashboard. You can access data on insider stock transactions through the Quiver Quantitative API insider transaction endpoint.

$ATEC Hedge Fund Activity

We have seen 144 institutional investors add shares of $ATEC stock to their portfolio, and 122 decrease their positions in their most recent quarter.

Here are some of the largest recent moves:

To track hedge funds' stock portfolios, check out Quiver Quantitative's institutional holdings dashboard. You can access data on hedge funds moves and 13F filings through the Quiver Quantitative API 13F endpoint.

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