Tearsheet

Xtant Medical (XTNT)


Market Price (6/15/2026): $0.445 | Market Cap: $62.3 MilSector: Health Care | Industry: Life Sciences Tools & Services

Xtant Medical (XTNT)


Market Price (6/15/2026): $0.445
Market Cap: $62.3 Mil
Sector: Health Care
Industry: Life Sciences Tools & Services

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -38%

Attractive yield
FCF Yield is 13%

Megatrend and thematic drivers
Megatrends include Advanced Orthopedic & Spine Care, and Aging Population & Chronic Disease. Themes include Spinal Surgical Implants, Orthobiologics for Tissue Repair, Show more.

Weak multi-year price returns
2Y Excs Rtn is -78%, 3Y Excs Rtn is -107%

Penny stock
Mkt Price is 0.4

Expensive valuation multiples
P/EPrice/Earnings or Price/(Net Income) is 34x

Weak revenue growth
Rev Chg QQuarterly Revenue Change % is -37%

Key risks
XTNT key risks include [1] the challenge of sustaining profitability and revenue growth once a one-time licensing revenue spike normalizes, Show more.

0 Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -38%
1 Attractive yield
FCF Yield is 13%
2 Megatrend and thematic drivers
Megatrends include Advanced Orthopedic & Spine Care, and Aging Population & Chronic Disease. Themes include Spinal Surgical Implants, Orthobiologics for Tissue Repair, Show more.
3 Weak multi-year price returns
2Y Excs Rtn is -78%, 3Y Excs Rtn is -107%
4 Penny stock
Mkt Price is 0.4
5 Expensive valuation multiples
P/EPrice/Earnings or Price/(Net Income) is 34x
6 Weak revenue growth
Rev Chg QQuarterly Revenue Change % is -37%
7 Key risks
XTNT key risks include [1] the challenge of sustaining profitability and revenue growth once a one-time licensing revenue spike normalizes, Show more.

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Updated on 6/11/2026

Xtant Medical (XTNT) stock has lost about 25% since 2/28/2026 because of the following key factors:

1. Significant Revenue Contraction Following Strategic Divestitures.

Xtant Medical experienced a substantial 37% year-over-year decrease in revenue for fiscal Q1 2026, falling to $20.9 million from $32.9 million in fiscal Q1 2025. This sharp decline was primarily a consequence of the strategic divestiture of the lower-margin Coflex/CoFix spinal implant systems and the international hardware business in December 2025, as the company aims to become a pure-play regenerative biologics firm.

2. Loss of High-Margin License Revenue and Resultant Gross Margin Compression.

The company faced further revenue headwinds from the loss of $3.6 million in high-margin license revenue due to reimbursement changes that became effective on January 1, 2026. This cessation of Q-code license revenue from amniotic membrane agreements, particularly those tied to the advanced wound care market, directly contributed to a decline in gross margin from 61.5% in fiscal Q1 2025 to 57.3% in fiscal Q1 2026.

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Stock Movement Drivers

Fundamental Drivers

The -22.8% change in XTNT stock from 2/28/2026 to 6/14/2026 was primarily driven by a -25.8% change in the company's P/E Multiple.
(LTM values as of)22820266142026Change
Stock Price ($)0.570.44-22.8%
Change Contribution By: 
Total Revenues ($ Mil)133122-8.4%
Net Income Margin (%)1.3%1.5%13.8%
P/E Multiple45.533.7-25.8%
Shares Outstanding (Mil)140140-0.2%
Cumulative Contribution-22.8%

LTM = Last Twelve Months as of date shown

Market Drivers

2/28/2026 to 6/14/2026
ReturnCorrelation
XTNT-22.8% 
Market (SPY)8.4%7.7%
Sector (XLV)-3.6%12.7%

Fundamental Drivers

The -25.5% change in XTNT stock from 11/30/2025 to 6/14/2026 was primarily driven by a -28.3% change in the company's P/E Multiple.
(LTM values as of)113020256142026Change
Stock Price ($)0.590.44-25.5%
Change Contribution By: 
Total Revenues ($ Mil)133122-8.4%
Net Income Margin (%)1.3%1.5%13.8%
P/E Multiple47.133.7-28.3%
Shares Outstanding (Mil)140140-0.2%
Cumulative Contribution-25.5%

LTM = Last Twelve Months as of date shown

Market Drivers

11/30/2025 to 6/14/2026
ReturnCorrelation
XTNT-25.5% 
Market (SPY)9.2%-1.2%
Sector (XLV)-1.6%-3.6%

Fundamental Drivers

The -33.4% change in XTNT stock from 5/31/2025 to 6/14/2026 was primarily driven by a -32.7% change in the company's P/S Multiple.
(LTM values as of)53120256142026Change
Stock Price ($)0.660.44-33.4%
Change Contribution By: 
Total Revenues ($ Mil)122122-0.3%
P/S Multiple0.80.5-32.7%
Shares Outstanding (Mil)139140-0.7%
Cumulative Contribution-33.4%

LTM = Last Twelve Months as of date shown

Market Drivers

5/31/2025 to 6/14/2026
ReturnCorrelation
XTNT-33.4% 
Market (SPY)27.3%14.8%
Sector (XLV)18.0%-1.8%

Fundamental Drivers

The -28.8% change in XTNT stock from 5/31/2023 to 6/14/2026 was primarily driven by a -52.7% change in the company's P/S Multiple.
(LTM values as of)53120236142026Change
Stock Price ($)0.620.44-28.8%
Change Contribution By: 
Total Revenues ($ Mil)6312293.7%
P/S Multiple1.10.5-52.7%
Shares Outstanding (Mil)109140-22.3%
Cumulative Contribution-28.8%

LTM = Last Twelve Months as of date shown

Market Drivers

5/31/2023 to 6/14/2026
ReturnCorrelation
XTNT-28.8% 
Market (SPY)84.5%15.4%
Sector (XLV)26.5%7.7%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
XTNT Return-53%18%71%-61%77%-45%-64%
Peers Return-7%-28%19%40%12%-17%4%
S&P 500 Return27%-19%24%23%16%8%97%

Monthly Win Rates [3]
XTNT Win Rate42%42%50%42%67%0% 
Peers Win Rate46%48%57%57%42%43% 
S&P 500 Win Rate75%42%67%75%67%50% 

Max Drawdowns [4]
XTNT Max Drawdown-87%-48%-51%-73%-38%-45% 
Peers Max Drawdown-39%-59%-49%-32%-42%-38% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: OFIX, ATEC, GMED, BVS, VCEL.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 6/12/2026 (YTD)

How Low Can It Go

EventXTNTS&P 500
2025 US Tariff Shock
  % Loss-36.7%-18.8%
  % Gain to Breakeven58.1%23.1%
  Time to Breakeven34 days79 days
2024 Yen Carry Trade Unwind
  % Loss-11.9%-7.8%
  % Gain to Breakeven13.6%8.5%
  Time to Breakeven14 days18 days
2023 SVB Regional Banking Crisis
  % Loss-22.6%-6.7%
  % Gain to Breakeven29.2%7.1%
  Time to Breakeven68 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-24.9%-24.5%
  % Gain to Breakeven33.1%32.4%
  Time to Breakeven15 days427 days
2020 COVID-19 Crash
  % Loss-48.5%-33.7%
  % Gain to Breakeven94.3%50.9%
  Time to Breakeven49 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-56.2%-19.2%
  % Gain to Breakeven128.1%23.8%
  Time to Breakeven56 days105 days

Compare to OFIX, ATEC, GMED, BVS, VCEL

In The Past

Xtant Medical's stock fell -36.7% during the 2025 US Tariff Shock. Such a loss loss requires a 58.1% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventXTNTS&P 500
2025 US Tariff Shock
  % Loss-36.7%-18.8%
  % Gain to Breakeven58.1%23.1%
  Time to Breakeven34 days79 days
2023 SVB Regional Banking Crisis
  % Loss-22.6%-6.7%
  % Gain to Breakeven29.2%7.1%
  Time to Breakeven68 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-24.9%-24.5%
  % Gain to Breakeven33.1%32.4%
  Time to Breakeven15 days427 days
2020 COVID-19 Crash
  % Loss-48.5%-33.7%
  % Gain to Breakeven94.3%50.9%
  Time to Breakeven49 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-56.2%-19.2%
  % Gain to Breakeven128.1%23.8%
  Time to Breakeven56 days105 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-33.4%-12.2%
  % Gain to Breakeven50.2%13.9%
  Time to Breakeven41 days62 days
2014-2016 Oil Price Collapse
  % Loss-33.4%-6.8%
  % Gain to Breakeven50.2%7.3%
  Time to Breakeven41 days15 days

Compare to OFIX, ATEC, GMED, BVS, VCEL

In The Past

Xtant Medical's stock fell -36.7% during the 2025 US Tariff Shock. Such a loss loss requires a 58.1% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Xtant Medical (XTNT)

Xtant Medical Holdings, Inc. develops, manufactures, and markets regenerative medicine products and medical devices for orthopedic and neurological surgeons in the United States and internationally. Its biomaterial products include OsteoSponge that provides a natural scaffold for cellular in-growth and exposes bone-forming proteins to the healing environment; OsteoSponge SC that fills bony defects in the subchondral region of joints; OsteoSelect DBM Putty for osteoinductive bone growth; OsteoSelect PLUS DBM Putty for use as a bone void filler and bone graft substitute in the pelvis, extremities, and posterolateral spine; OsteoFactor, which contains various proteins and peptides that support bone formation and remodeling; OsteoWrap; and OsteoVive Plus, a growth factor enriched cellular bone matrix. The company also provides 3Demin, a family of allografts that maximizes osteoconductivity and the osteoinductive potential of human bone. In addition, it processes and distributes sports allografts for anterior and posterior cruciate ligament repairs, anterior cruciate ligament reconstruction, and meniscal repair; milled spinal allografts for cortical bone milled to desired shapes and dimensions; and traditional allografts for orthopedics, neurology, podiatry, oral/maxillofacial, genitourinary, and plastic/reconstructive applications. Further, the company offers Certex spinal fixation, Spider cervical plating, Axle interspinous fusion, Silex Sacroiliac joint fusion, Xpress minimally invasive pedicle screw, and Fortex Pedicle screw systems. Additionally, it provides Calix for cervical and thoracolumbar applications, Axle-X interspinous fusion system, Irix-C cervical integrated fusion system, and Irix-A Lumbar integrated fusion system. The company was formerly known as Bacterin International Holdings, Inc. and changed its name to Xtant Medical Holdings, Inc. in July 2015. Xtant Medical Holdings, Inc. is headquartered in Belgrade, Montana.

AI Analysis | Feedback

Here are 1-3 brief analogies for Xtant Medical:

  • Like a focused Stryker or Zimmer Biomet, specializing in spinal implants and regenerative bone and tissue products.
  • A smaller-scale Medtronic, but dedicated to spinal hardware and advanced biomaterials for orthopedic and neurological surgeries.

AI Analysis | Feedback

  • Biomaterial Products: Regenerative medicine products designed to support bone formation and healing.
    • OsteoSponge & OsteoSponge SC: Natural scaffolds for cellular in-growth, filling bony defects in joints.
    • OsteoSelect DBM Putty & OsteoSelect PLUS DBM Putty: Osteoinductive bone graft substitutes and void fillers for bone growth.
    • OsteoFactor & OsteoVive Plus: Products containing proteins, peptides, and growth factors to support bone formation and remodeling.
    • OsteoWrap: A biomaterial product used in regenerative medicine applications.
  • Allografts: Processed human tissue grafts for various surgical applications.
    • 3Demin: A family of allografts that maximizes osteoconductivity and osteoinductive potential.
    • Sports Allografts: Used for ligament and meniscal repairs and reconstructions.
    • Milled Spinal Allografts: Cortical bone milled to desired shapes and dimensions for spinal procedures.
    • Traditional Allografts: A broad range of allografts for orthopedic, neurological, and reconstructive applications.
  • Spinal Fixation and Fusion Systems: Medical devices for stabilizing and fusing parts of the spine.
    • Certex Spinal Fixation, Xpress, & Fortex Pedicle Screw Systems: Systems for spinal stabilization and fixation using pedicle screws.
    • Spider Cervical Plating System: A system designed for plating in the cervical spine.
    • Axle & Axle-X Interspinous Fusion Systems: Devices used for interspinous fusion in the spine.
    • Silex Sacroiliac Joint Fusion System: A system specifically for fusing the sacroiliac joint.
    • Calix, Irix-C, & Irix-A Fusion Systems: Integrated fusion systems for cervical, thoracolumbar, and lumbar spinal applications.

AI Analysis | Feedback

Xtant Medical (XTNT) sells its products primarily to medical professionals and the institutions where they practice. Based on the company description, the major categories of customers are:
  • Orthopedic surgeons
  • Neurological surgeons
  • Hospitals and surgical centers

AI Analysis | Feedback

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AI Analysis | Feedback

Sean Browne, Chief Executive Officer

Sean Browne was appointed Chief Executive Officer of Xtant Medical in October 2019. He brings over three decades of expertise to the medical device and healthcare industry. Prior to his current role, Mr. Browne served as Chief Revenue Officer of CCS Medical, Inc., a provider of home delivery medical supplies. He also held the position of Chief Operating Officer at The Kini Group, an integrated cloud-based software analytics and advisory firm. Notably, Mr. Browne was President and Chief Executive Officer and a director of Neuro Resource Group, a venture start-up medical device company that was successfully sold to a strategic buyer. His experience further includes serving as President of the Miltex Surgical Instrument Division for Integra LifeSciences Corporation, a publicly held medical device company that acquired Miltex Holdings, Inc. Additionally, he was Vice President of Sales and Marketing for Esurg.com, an e-commerce company, and Senior Vice President of the Health Systems Division at McKesson Corporation. He began his career holding various positions of increasing responsibility at Baxter Healthcare. Mr. Browne holds an MBA from the Kellogg School of Management at Northwestern University.

Scott Neils, Chief Financial Officer

Scott Neils was appointed Chief Financial Officer of Xtant Medical, effective June 1, 2022, after serving as interim Chief Financial Officer since January 3, 2022. He joined Xtant Medical in August 2019 as the Company's Controller. Mr. Neils possesses more than 15 years of experience in public accounting and corporate finance. Before his tenure at Xtant Medical, he served as Audit Senior Manager at Baker Tilly US, LLP from November 2015 to August 2019. Earlier in his career, he was an Audit Manager at Grant Thornton LLP, an accounting and advisory organization, from September 2007 to November 2015. Mr. Neils is a Certified Public Accountant. He earned a Bachelor of Science in Business in Accounting and a Master of Accountancy from the Carlson School of Management at the University of Minnesota.

Mark Schallenberger, Chief Operating Officer

Mark Schallenberger serves as the Chief Operating Officer for Xtant Medical. He brings extensive experience in orthobiologics to his role. Before rejoining Xtant Medical, Mr. Schallenberger was the Chief Operations Officer of Surgenex LLC, a medical technology manufacturer, from June 2019 to January 2023. Prior to that, he held the position of Senior Director of Marketing & Product Development at DCI Donor Services Tissue Bank from February 2016 to June 2019. Earlier in his career, he held various roles with increasing responsibility at Xtant Medical Holdings, Inc. (formerly Bacterin International Holdings, Inc.), including Director of Scientific Affairs, from September 2010 to February 2016. Mr. Schallenberger holds a Master of Science in Chemical Biology from The Scripps Research Institute and a Bachelor of Science degree in Chemistry from the University of Montana.

AI Analysis | Feedback

The key risks to Xtant Medical's business (XTNT) are primarily driven by the highly competitive and regulated nature of the medical device and regenerative medicine industry, alongside ongoing financial challenges.

  1. Intense Competition and Pricing Pressure: Xtant Medical operates in an extremely competitive segment of the medical device world, facing massive, diversified competitors such as Medtronic. This disparity in scale, with larger companies having significantly greater revenue and R&D budgets, poses a constant threat of stifling Xtant's growth and exerting relentless pricing pressure in the orthobiologics space.
  2. Regulatory Risks and Product Recalls: The regulatory environment for allografts and biologics is stringent, with a tightening focus from the FDA on transparency and compliance. Xtant Medical faces the ongoing risk of product recalls, adverse regulatory changes, or delays in product approvals, any of which can be costly and lead to sanctions, product seizures, or reputational damage. The company has previously experienced a Class 2 Device Recall for a spinal fixation system, highlighting this vulnerability.
  3. Financial Challenges and Path to Consistent Profitability: While Xtant Medical has shown recent positive net income in some quarters, the company has historically burned capital, and the "specter of a significant net loss" has been projected by some analysts for the full 2025 fiscal year. The company has had limited cash reserves, although recent asset sales are intended to improve this. A low Altman Z-Score indicates potential financial distress, and earnings are forecast to decline by an average of 3.2% per year for the next three years, underscoring ongoing concerns about financial stability and the sustainability of profitability.

AI Analysis | Feedback

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AI Analysis | Feedback

Xtant Medical Holdings, Inc. operates within several significant addressable markets, primarily focused on orthopedic and neurological medical devices and regenerative medicine products. Here are the estimated market sizes for their main product categories:

  • Orthopedic Devices: The global orthopedic devices market was estimated at USD 60.4 billion in 2023 and is anticipated to reach USD 80.8 billion by 2030. North America held the largest revenue share, accounting for 45% of the global market in 2023. The U.S. alone accounted for 93.3% of the North American orthopedic devices market in 2023. Another source indicates the global orthopedic devices market was valued at USD 54.4 billion in 2024 and is expected to grow to USD 77.6 billion by 2034. North America dominated the global market with the highest market share of 55.6% in 2024.
  • Bone Graft Substitutes (including DBM products and allografts): The global bone graft substitutes market was valued at over USD 3 billion in 2023 and is estimated to expand to USD 5.4 billion by 2032. North America is a significant region, with the U.S. bone graft substitutes market valued at USD 1.62 billion in 2023 and projected to grow. Another report indicates the U.S. bone graft substitutes market size was valued at USD 945.1 million in 2023 and is expected to reach USD 1598.1 million by 2033. The global bone grafts and substitutes market size is predicted to increase from USD 3.57 billion in 2026 to approximately USD 5.99 billion by 2035. The Demineralized Bone Matrix (DBM) market, specifically, was valued at USD 1.37 billion in 2024 and is projected to reach USD 2.18 billion by 2032. The DBM putty segment is projected to reach an estimated USD 795.1 million by 2025 globally.
  • Spinal Fusion Devices: The global spinal fusion device market size was estimated at USD 7.03 billion in 2023 and is projected to reach USD 9.75 billion by 2030. North America dominated this market with a 42.0% share in 2023. The U.S. spinal fusion device market was valued at USD 2,082.9 million in 2021 and is expected to reach USD 2,661.2 million by 2028. Another report estimates the global spinal fusion devices market size at USD 7.41 billion in 2024 and poised to grow to USD 10.82 billion by 2033.
  • Regenerative Medicine Products: The U.S. regenerative medicine market size was valued at USD 17.19 billion in 2023 and is projected to surpass around USD 80.74 billion by 2033. Another source notes the U.S. regenerative medicine market size was USD 16.81 billion in 2023 and is expected to grow.
  • Neurology Devices (for neurological surgeons): The global neurology devices market size was valued at USD 14.3 billion in 2024 and is expected to reach USD 28.3 billion by 2034. Another estimate puts the global neurology devices market at USD 15.98 billion in 2024, projected to reach around USD 34.76 billion by 2034. The U.S. neurological device market was valued at over USD 7.6 billion in 2024 and is expected to reach nearly USD 10 billion. Another report estimates the U.S. neurology devices market to reach US$ 6.32 billion by 2033 from US$ 3.57 billion in 2024.

AI Analysis | Feedback

Xtant Medical (XTNT) is expected to drive future revenue growth over the next 2-3 years through several key strategic initiatives:

  1. New Product Launches and Expanded Biologics Portfolio: Xtant Medical is continuously expanding its product offerings, particularly in the high-margin regenerative biologics segment. Recent and planned launches include products like OsteoVive Plus, Trivium advanced demineralized bone matrix, Collagen X, and nanOss Strata synthetic bone graft, alongside the introduction of new categories such as amnion, growth factor, and stem cell product lines.

  2. Expansion of Distribution Network and Commercial Team: The company is focused on broadening its market reach by expanding its distribution network and increasing the penetration of its products. This includes adding new distributors and a strategic plan to significantly increase its sales representatives to drive sales of its core biologics.

  3. Entry into Adjacent Markets: Xtant Medical is actively diversifying its market presence by pursuing opportunities in adjacent markets beyond its traditional focus on spine. These include surgical repair, chronic wound care, foot and ankle, oncology, total knee and hip, and trauma spaces, which are expected to open new revenue streams.

  4. Vertical Integration and Enhanced Supply Chain Control: The completion of vertical integration in manufacturing enables Xtant Medical to control its supply chain, reduce constraints, and develop and introduce higher-margin products. This operational improvement is anticipated to enhance both margins and supply chain security, contributing to revenue growth.

  5. Strategic Divestitures and Focus on Core Business: By strategically divesting non-core assets, such as the Coflex and Paradigm OUS businesses, Xtant Medical is streamlining its operations to concentrate resources on its higher-margin biologics platform. This move is intended to reduce long-term debt, improve liquidity, and strengthen the company's financial position, allowing for more focused growth in its core regenerative medicine business.

AI Analysis | Feedback

Share Repurchases

No information available regarding share repurchase programs or actual share repurchases made by Xtant Medical (XTNT) over the last 3-5 years.

Share Issuance

  • On August 25, 2022, Xtant Medical conducted a private placement that generated $4.456 million in proceeds after accounting for cash issuance costs.
  • A secondary private sale of 73.1 million shares of Xtant common stock occurred on April 16, 2025, where existing shares held by OrbiMed Advisors LLC were sold to new and existing stockholders, led by Nantahala Capital Management LLC. Xtant Medical did not receive proceeds from this transaction but facilitated the resale.
  • The number of issued and outstanding shares increased from 139,045,664 as of December 31, 2024, to 140,004,240 as of September 30, 2025, reflecting an increase of approximately 958,576 shares.

Inbound Investments

  • In May 2021, Xtant Medical secured $20 million in debt financing through new credit agreements with MidCap Financial Trust, consisting of a $12 million secured term loan and an $8 million secured revolving credit facility.
  • Following the divestiture of certain assets to Companion Spine, Xtant Medical anticipates having over $20 million in cash on its balance sheet, which is expected to strengthen its financial position.

Outbound Investments

  • Xtant Medical divested its Coflex and CoFix spinal implant systems and all international operations (Paradigm OUS businesses) to Companion Spine, with the transaction finalized in December 2025 for a total aggregate purchase price of $21.4 million.
  • In 2023, the company invested $23.5 million in cash for the acquisition of three separate businesses, including Surgalign SPV, Inc., Surgalign Holdings' hardware and biologics business, and nanOss production operations from RTI Surgical, Inc.
  • Prior to the fourth quarter of 2022, Xtant Medical acquired the Coflex product line, which was aimed at enhancing its fixation offerings.

Capital Expenditures

  • Xtant Medical reported $430,000 in capital expenditures during the third quarter of 2025.
  • Net cash used in investing activities was $3.7 million for the full year 2024.
  • The company is strategically focused on becoming fully vertically integrated to manufacture all of its biologics products in-house, which involves ongoing investment in manufacturing facilities and research and development for new product introductions.

Better Bets vs. Xtant Medical (XTNT)

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Peer Comparisons

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Financials

XTNTOFIXATECGMEDBVSVCELMedian
NameXtant Me.Orthofix.Alphatec Globus M.BioventusVericel  
Mkt Price0.449.318.2880.398.5137.468.91
Mkt Cap0.10.41.310.90.61.90.9
Rev LTM1228257873,101576292682
Op Inc LTM3-47-48601601610
FCF LTM8-4-16011014728
FCF 3Y Avg-5-34-9542542144
CFO LTM934527791036257
CFO 3Y Avg-310-19556455128

Growth & Margins

XTNTOFIXATECGMEDBVSVCELMedian
NameXtant Me.Orthofix.Alphatec Globus M.BioventusVericel  
Rev Chg LTM-0.3%2.6%22.5%23.5%1.5%22.4%12.5%
Rev Chg 3Y Avg27.1%17.3%26.5%44.4%3.9%20.0%23.3%
Rev Chg Q-36.5%1.6%13.6%27.0%6.6%30.1%10.1%
QoQ Delta Rev Chg LTM-9.0%0.4%3.0%5.5%1.4%5.7%2.2%
Op Inc Chg LTM143.7%52.8%58.5%108.8%167.0%661.5%126.3%
Op Inc Chg 3Y Avg31.9%5.9%20.6%48.5%118.0%255.2%40.2%
Op Mgn LTM2.7%-5.7%-6.1%19.4%10.4%5.4%4.1%
Op Mgn 3Y Avg-5.1%-10.8%-17.8%13.3%6.1%0.8%-2.2%
QoQ Delta Op Mgn LTM-2.7%4.4%1.4%1.1%0.5%1.4%1.3%
CFO/Rev LTM7.5%4.1%6.6%25.1%17.9%21.1%12.7%
CFO/Rev 3Y Avg-3.1%1.1%-4.8%21.2%7.9%20.6%4.5%
FCF/Rev LTM6.4%-0.5%-0.1%19.4%17.5%16.3%11.3%
FCF/Rev 3Y Avg-5.3%-4.4%-17.5%16.1%7.4%4.8%0.2%

Valuation

XTNTOFIXATECGMEDBVSVCELMedian
NameXtant Me.Orthofix.Alphatec Globus M.BioventusVericel  
Mkt Cap0.10.41.310.90.61.90.9
P/S0.50.51.63.51.06.51.3
P/Op Inc18.7-8.1-26.418.19.5120.613.8
P/EBIT8.6-9.2-16.918.110.182.89.3
P/E33.7-6.3-10.218.520.188.619.3
P/CFO6.711.024.714.05.630.812.5
Total Yield3.0%-15.9%-9.8%5.4%5.0%1.1%2.0%
Dividend Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%
FCF Yield 3Y Avg-4.7%-6.1%-5.3%4.2%7.1%0.9%-1.9%
D/E0.30.70.50.00.50.00.4
Net D/E0.10.40.4-0.00.4-0.00.2

Returns

XTNTOFIXATECGMEDBVSVCELMedian
NameXtant Me.Orthofix.Alphatec Globus M.BioventusVericel  
1M Rtn-3.5%-22.5%8.1%4.9%-19.6%13.4%0.7%
3M Rtn-29.1%-20.4%-32.6%-5.2%-1.3%15.1%-12.8%
6M Rtn-39.3%-39.9%-58.5%-7.3%12.7%2.5%-23.3%
12M Rtn-29.3%-15.4%-25.1%36.5%28.5%-12.2%-13.8%
3Y Rtn-36.5%-50.5%-48.7%36.9%133.8%9.1%-13.7%
1M Excs Rtn-8.2%-23.6%9.8%6.6%-18.0%14.2%-0.8%
3M Excs Rtn-41.2%-32.5%-44.6%-17.2%-13.3%3.1%-24.8%
6M Excs Rtn-45.3%-49.1%-68.3%-16.4%5.6%-8.4%-30.8%
12M Excs Rtn-58.0%-41.6%-52.8%8.8%3.4%-38.6%-40.1%
3Y Excs Rtn-107.4%-127.4%-119.8%-30.8%127.6%-65.7%-86.6%

Comparison Analyses

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Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Orthobiologics7366 4742
Spinal implant4249 1113
License revenue192  0
Single segment  91  
Total134117915855


Net Income by Segment
$ Mil20242023
Single segment-161
Total-161


Price Behavior

Price Behavior
Market Price$0.44 
Market Cap ($ Bil)0.1 
First Trading Date10/19/2015 
Distance from 52W High-52.2% 
   50 Days200 Days
DMA Price$0.49$0.62
DMA Trenddowndown
Distance from DMA-10.1%-29.2%
 3M1YR
Volatility50.8%60.0%
Downside Capture26.0370.36
Upside Capture-103.809.69
Correlation (SPY)2.4%15.3%
XTNT Betas & Captures as of 5/31/2026

 1M2M3M6M1Y3Y
Beta-0.14-0.030.26-0.100.760.74
Up Beta-2.441.481.410.931.700.63
Down Beta1.170.030.720.380.820.89
Up Capture-80%-98%-59%-60%5%28%
Bmk +ve Days13283667141432
Stock +ve Days10203260119348
Down Capture198%-115%4%-57%77%97%
Bmk -ve Days7132757109318
Stock -ve Days10213163125366

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with XTNT
XTNT-32.4%60.0%-0.43-
Sector ETF (XLV)15.4%15.0%0.74-2.1%
Equity (SPY)24.9%12.3%1.5215.1%
Gold (GLD)25.5%27.4%0.812.1%
Commodities (DBC)30.1%19.0%1.25-9.3%
Real Estate (VNQ)13.5%13.5%0.69-1.0%
Bitcoin (BTCUSD)-41.7%42.2%-1.1616.5%

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Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with XTNT
XTNT-22.5%73.7%-0.03-
Sector ETF (XLV)6.4%14.8%0.258.2%
Equity (SPY)13.5%17.1%0.6111.0%
Gold (GLD)16.8%18.2%0.755.7%
Commodities (DBC)8.4%19.4%0.333.8%
Real Estate (VNQ)2.8%18.8%0.057.7%
Bitcoin (BTCUSD)13.6%54.4%0.4412.0%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with XTNT
XTNT-33.2%113.4%0.08-
Sector ETF (XLV)9.7%16.6%0.472.0%
Equity (SPY)15.3%17.9%0.735.1%
Gold (GLD)12.5%16.1%0.64-1.7%
Commodities (DBC)6.7%18.0%0.290.2%
Real Estate (VNQ)5.7%20.7%0.243.5%
Bitcoin (BTCUSD)60.3%66.8%1.000.2%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date5292026
Short Interest: Shares Quantity0.0 Mil
Short Interest: % Change Since 5152026-80.2%
Average Daily Volume0.2 Mil
Days-to-Cover Short Interest1
Basic Shares Quantity140.1 Mil
Short % of Basic Shares0.0%

Earnings Returns History

Updated 6/15/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
5/13/2026-4.8%-9.0%-14.6%
11/10/2025-0.6%-10.2%-8.7%
8/12/202514.1%10.6%5.6%
5/12/202514.7%37.5%29.3%
3/6/2025-4.4%5.7%-2.6%
11/12/2024-13.3%-20.0%-30.9%
8/8/20240.3%-9.0%-13.1%
5/15/2024-12.5%-1.4%-5.1%
...
SUMMARY STATS   
# Positive999
# Negative131313
Median Positive6.6%10.6%9.1%
Median Negative-4.4%-10.2%-13.1%
Max Positive14.7%121.3%39.1%
Max Negative-14.9%-28.3%-34.2%

SEC Filings

Expand for More
Report DateFiling DateFiling
03/31/202605/13/202610-Q
12/31/202503/31/202610-K
09/30/202511/10/202510-Q
06/30/202508/12/202510-Q
03/31/202505/12/202510-Q
12/31/202403/06/202510-K
09/30/202411/12/202410-Q
06/30/202408/08/202410-Q
03/31/202405/15/202410-Q
12/31/202304/01/202410-K
09/30/202311/14/202310-Q
06/30/202308/01/202310-Q
03/31/202305/04/202310-Q
12/31/202203/07/202310-K
09/30/202211/03/202210-Q
06/30/202208/04/202210-Q

Recent Forward Guidance

Updated 6/1/2026

Latest: Q1 2026 Earnings Reported 5/13/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2026 Revenue101.00 Mil103.00 Mil105.00 Mil-22.6% LoweredGuidance: 133.00 Mil for 2025

Prior: Q3 2025 Earnings Reported 11/10/2025

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2025 Revenue131.00 Mil133.00 Mil135.00 Mil0 AffirmedGuidance: 133.00 Mil for 2025
2025 Revenue Growth11.0%13.0%15.0%00AffirmedGuidance: 13.0% for 2025

Insider Activity

Updated 4/26/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Orbimed, Advisors LlcSee footnotesSell41420250.4273,114,592  Form
Core Cache Last Updated: 6/14/2026