Alphatec Holdings Inc. (ATEC) Stock Falls on Q4 2025 Earnings

Alphatec Holdings Inc. (ATEC) reported fourth-quarter 2025 results with revenue rising 20.4% year-over-year to $212.9 million, versus the consensus revenue estimate of $215.6 million.

Gross profit of $149.5 million, up 22.95% year-over-year.

Cost of sales totaled $63.4 million, up 14.9% year-over-year.

Operating loss of $8.8 million, a 62.97% year-over-year decline in operating profit.

Net loss attributable to common shareholders of $21.7 million, down 34.8% year-over-year.

Diluted earnings per share were -0.14, a 39.1% decline year-over-year (EPS estimate: -0.1309).

Balance-sheet and cash-flow highlights:

Cash from operating activities increased 96.5% to $20.7 million.

Purchases of property, plant and equipment rose sharply to $13.0 million (up 556.4% year-over-year).

Cash and cash equivalents stood at $160.8 million, up 15.8% year-over-year.

Total liabilities fell to $219.2 million, a 71.4% year-over-year decline.

Market and context: the company reported diluted EPS below the estimate and revenue slightly under the consensus, and the stock moved approximately -11.81% since market close following the release.

Note: This financials data is sourced from a third-party provider and has not been independently verified by Quiver.

Alphatec Holdings Inc. Insider Trading Activity

Alphatec Holdings Inc. insiders have traded $ATEC stock on the open market 40 times in the past 6 months. Of those trades, 0 have been purchases and 40 have been sales.

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

DAVID R PELIZZON has made 0 purchases and 5 sales selling 1,000,000 shares for an estimated $20,565,098.
CAPITAL LLC SQUADRON has made 0 purchases and 4 sales selling 750,000 shares for an estimated $15,650,098.
CAPITAL HOLDINGS LLC SQUADRON has made 0 purchases and 4 sales selling 750,000 shares for an estimated $15,650,098.
JENNIFER N. PRITZKER has made 0 purchases and 4 sales selling 750,000 shares for an estimated $15,650,098.
PATRICK MILES (CEO) has made 0 purchases and 5 sales selling 700,000 shares for an estimated $12,323,000.
DAVID SPONSEL (EVP, SALES) has made 0 purchases and 6 sales selling 292,519 shares for an estimated $4,539,085.
JEFFREY P RYDIN sold 200,000 shares for an estimated $3,864,000
CRAIG E HUNSAKER (EVP, PEOPLE & CULTURE) has made 0 purchases and 3 sales selling 169,942 shares for an estimated $3,223,586.
TYSON ELIOT MARSHALL (GENERAL COUNSEL & CORP. SEC.) has made 0 purchases and 3 sales selling 92,889 shares for an estimated $1,857,226.
SCOTT LISH (CHIEF OPERATING OFFICER) has made 0 purchases and 3 sales selling 55,775 shares for an estimated $1,119,322.
MORTIMER III BERKOWITZ sold 62,500 shares for an estimated $998,125
DAVID M DEMSKI sold 30,000 shares for an estimated $636,000

To track insider transactions, check out Quiver Quantitative's insider trading dashboard.

Alphatec Holdings Inc. Hedge Fund Activity

We have seen 138 institutional investors add shares of Alphatec Holdings Inc. stock to their portfolio, and 144 decrease their positions in their most recent quarter.

Here are some of the largest recent moves:

MILLENNIUM MANAGEMENT LLC added 1,658,349 shares (+292.2%) to their portfolio in Q4 2025, for an estimated $34,891,662
TREMBLANT CAPITAL GROUP added 1,624,997 shares (+inf%) to their portfolio in Q4 2025, for an estimated $34,189,936
BRAIDWELL LP removed 1,514,604 shares (-100.0%) from their portfolio in Q4 2025, for an estimated $31,867,268
DRIEHAUS CAPITAL MANAGEMENT LLC added 1,449,158 shares (+102.8%) to their portfolio in Q4 2025, for an estimated $30,490,284
IRON TRIANGLE PARTNERS LP added 1,285,685 shares (+inf%) to their portfolio in Q4 2025, for an estimated $27,050,812
CITADEL ADVISORS LLC added 1,152,673 shares (+623.4%) to their portfolio in Q4 2025, for an estimated $24,252,239
HOOD RIVER CAPITAL MANAGEMENT LLC added 1,138,350 shares (+inf%) to their portfolio in Q4 2025, for an estimated $23,950,884

To track hedge funds' stock portfolios, check out Quiver Quantitative's institutional holdings dashboard.

Alphatec Holdings Inc. Analyst Ratings

Wall Street analysts have issued reports on $ATEC in the last several months. We have seen 9 firms issue buy ratings on the stock, and 0 firms issue sell ratings.

Here are some recent analyst ratings:

Freedom Capital Markets issued a "Buy" rating on 12/11/2025
Barclays issued a "Overweight" rating on 11/03/2025
Needham issued a "Buy" rating on 10/31/2025
HC Wainwright & Co. issued a "Buy" rating on 10/31/2025
Piper Sandler issued a "Overweight" rating on 10/31/2025
Canaccord Genuity issued a "Buy" rating on 10/31/2025
Stifel issued a "Buy" rating on 10/28/2025

To track analyst ratings and price targets for Alphatec Holdings Inc., check out Quiver Quantitative's $ATEC forecast page.

Alphatec Holdings Inc. Price Targets

Multiple analysts have issued price targets for $ATEC recently. We have seen 10 analysts offer price targets for $ATEC in the last 6 months, with a median target of $24.0.

Here are some recent targets:

David Saxon from Needham set a target price of $22.0 on 01/12/2026
Sean Lee from HC Wainwright & Co. set a target price of $24.0 on 01/12/2026
Matt Miksic from Barclays set a target price of $27.0 on 01/07/2026
Keith Hinton from Freedom Capital Markets set a target price of $25.0 on 12/11/2025
Drew Ranieri from Morgan Stanley set a target price of $21.0 on 11/10/2025
Caitlin Cronin from Canaccord Genuity set a target price of $25.0 on 10/31/2025
Thomas Stephan from Stifel set a target price of $24.0 on 10/31/2025