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XTNT logoXtant Medical Holdings, Inc.(XTNT)Earnings, Financials & Key Ratios

XTNT•AMEX
$0.58
$81M mkt cap·Price updated May 6, 2026
SectorHealthcareIndustryMedical DevicesSub-IndustryOrthopedics, spine, and sports medicine
AboutXtant 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.Show more
  • Revenue$117M+28.4%
  • EBITDA-$8M-12.4%
  • Net Income-$16M-2592.3%
  • EPS (Diluted)-0.12-2407.7%
  • Gross Margin58.17%-4.2%
  • EBITDA Margin-6.69%+12.5%
  • Operating Margin-10.3%+7.5%
  • Net Margin-14.03%-2040.4%
  • ROE-34.88%-2359.9%
  • ROIC-12.84%+15.6%
  • Debt/Equity0.82+78.3%
  • Interest Coverage-2.90+16.1%
Technical→

XTNT Key Insights

Xtant Medical Holdings, Inc. (XTNT) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Strong 5Y sales CAGR of 12.6%
  • ✓Efficient asset utilization: 1.2x turnover

✗Weaknesses

  • ✗Weak Piotroski F-Score: 2/9
  • ✗Negative free cash flow
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

XTNT Price & Volume

Xtant Medical Holdings, Inc. (XTNT) stock price & volume — 10-year historical chart

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XTNT Growth Metrics

Xtant Medical Holdings, Inc. (XTNT) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years12.75%
5 Years12.64%
3 Years28.5%
TTM16.88%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM109.96%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM107.7%

Return on Capital

10 Years-24.17%
5 Years-13.37%
3 Years-16.96%
Last Year-17.9%

XTNT Peer Comparison

Xtant Medical Holdings, Inc. (XTNT) competitors in Orthopedics, spine, and sports medicine — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
ATEC logoATECAlphatec Holdings, Inc.Direct Competitor1.55B10.23-10.6624.95%-21.07%-141.88%0.18%17.21
NVCR logoNVCRNovoCure LimitedDirect Competitor1.81B15.88-13.028.28%-25.66%-50.82%0.85
OSPN logoOSPNOneSpan Inc.Direct Competitor447.73M11.956.290%28.47%27.31%11.28%0.02
GMED logoGMEDGlobus Medical, Inc.Product Competitor12.18B90.0322.9716.65%18.3%12.4%4.84%0.03
OSIS logoOSISOSI Systems, Inc.Product Competitor3.87B234.7426.9511.33%8.42%16.74%1.45%0.72
IART logoIARTIntegra LifeSciences Holdings CorporationProduct Competitor1.03B13.22-1.961.53%-30.15%-47.65%1.95
AHCO logoAHCOAdaptHealth Corp.Product Competitor1.6B11.75-22.60-0.49%-2.65%-5.22%13.74%1.25
ZBH logoZBHZimmer Biomet Holdings, Inc.Supply Chain16.25B83.0123.387.2%9.05%5.77%9.06%0.59

Compare XTNT vs Peers

Xtant Medical Holdings, Inc. (XTNT) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs ATEC

Most directly comparable listed peer for XTNT.

Scale Benchmark

vs SYK

Larger-name benchmark to compare XTNT against a more recognizable public peer.

Peer Set

Compare Top 5

vs ATEC, NVCR, OSPN, GMED

XTNT Income Statement

Xtant Medical Holdings, Inc. (XTNT) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Sales/Revenue90M82.61M72.2M64.68M53.34M55.26M57.97M91.3M117.27M133.08M
Revenue Growth %51.66%-8.21%-12.6%-10.42%-17.54%3.61%4.9%57.5%28.44%16.88%
Cost of Goods Sold27.71M32.51M28.72M22.17M18.95M22.77M25.83M35.84M49.05M50.54M
COGS % of Revenue30.79%39.35%39.77%34.27%35.52%41.21%44.56%39.25%41.83%-
Gross Profit
62.29M▲ 0%
50.1M▼ 19.6%
43.49M▼ 13.2%
42.52M▼ 2.2%
34.39M▼ 19.1%
32.49M▼ 5.5%
32.14M▼ 1.1%
55.47M▲ 72.6%
68.22M▲ 23.0%
82.54M▲ 0%
Gross Margin %69.21%60.65%60.23%65.73%64.48%58.79%55.44%60.75%58.17%62.02%
Gross Profit Growth %59.39%-19.57%-13.2%-2.23%-19.11%-5.53%-1.09%72.6%22.98%-
Operating Expenses68.44M63.77M50.88M44.77M35.14M36.34M38.89M65.63M80.29M76.2M
OpEx % of Revenue76.04%77.19%70.47%69.21%65.89%65.77%67.09%71.88%68.47%-
Selling, General & Admin60.09M55.84M45.06M43.78M34.49M35.47M37.98M64.29M77.91M74.03M
SG&A % of Revenue66.76%67.6%62.41%67.68%64.66%64.19%65.51%70.41%66.43%-
Research & Development3.41M2.44M1.7M932K657K870K915K1.34M2.38M2.17M
R&D % of Revenue3.79%2.95%2.36%1.44%1.23%1.57%1.58%1.46%2.03%-
Other Operating Expenses-351.91K-74.71K3K58K000000
Operating Income
-7.55M▲ 0%
-37.83M▼ 401.4%
-60.08M▼ 58.8%
-2.35M▲ 96.1%
-751K▲ 68.1%
-3.85M▼ 413.2%
-6.75M▼ 75.3%
-10.16M▼ 50.4%
-12.07M▼ 18.9%
6.35M▲ 0%
Operating Margin %-8.38%-45.8%-83.21%-3.64%-1.41%-6.97%-11.65%-11.13%-10.3%4.77%
Operating Income Growth %37.53%-401.43%-58.79%96.08%68.1%-413.18%-75.27%-50.38%-18.86%-
EBITDA-303.39K-29.44M-54.34M847K1.33M-2.51M-5.46M-6.98M-7.85M10.9M
EBITDA Margin %-0.34%-35.64%-75.26%1.31%2.49%-4.55%-9.42%-7.65%-6.69%8.19%
EBITDA Growth %95.78%-9603.7%-84.57%101.56%56.79%-289.23%-117.23%-27.94%-12.4%210.01%
D&A (Non-Cash Add-back)7.24M8.39M5.74M3.2M2.08M1.34M1.3M3.17M4.22M4.55M
EBIT-7.18M-37.71M-59.95M-2.35M-751K-3.85M-6.72M1.9M-12.1M6.35M
Net Interest Income-12.26M-14.71M-10.14M-5.77M-5.98M-995K-1.66M-2.79M-4.16M-4.09M
Interest Income00000031K149K00
Interest Expense12.26M14.7M10.14M5.77M5.98M995K1.69M2.94M4.16M4.09M
Other Income/Expense-11.9M-14.58M-10.02M-5.87M-5.98M-995K-1.66M9.12M-4.19M-4.09M
Pretax Income
-19.44M▲ 0%
-52.41M▼ 169.6%
-70.1M▼ 33.7%
-8.12M▲ 88.4%
-6.73M▲ 17.2%
-4.85M▲ 27.9%
-8.42M▼ 73.6%
-1.04M▲ 87.7%
-16.26M▼ 1468.2%
2.26M▲ 0%
Pretax Margin %-21.6%-63.44%-97.09%-12.56%-12.61%-8.77%-14.52%-1.14%-13.87%1.7%
Income Tax50.36K0124K98K296K069K-1.7M187K508K
Effective Tax Rate %-0.26%0%-0.18%-1.21%-4.4%0%-0.82%163.65%-1.15%22.49%
Net Income
-19.49M▲ 0%
-52.41M▼ 168.9%
-70.1M▼ 33.7%
-8.22M▲ 88.3%
-7.02M▲ 14.6%
-4.85M▲ 31.0%
-8.48M▼ 75.0%
660K▲ 107.8%
-16.45M▼ 2592.3%
1.75M▲ 0%
Net Margin %-21.66%-63.44%-97.09%-12.71%-13.17%-8.77%-14.64%0.72%-14.03%1.32%
Net Income Growth %-796.49%-168.86%-33.75%88.27%14.57%30.96%-74.98%107.78%-2592.27%109.96%
Net Income (Continuing)-19.49M-52.41M-70.1M-8.22M-7.02M-4.85M-8.48M660K-16.45M1.75M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)
-18.32▲ 0%
-34.51▼ 88.4%
-5.93▲ 82.8%
-0.62▲ 89.5%
-0.25▲ 59.7%
-0.06▲ 77.3%
-0.09▼ 59.1%
0.01▲ 105.8%
-0.12▼ 2407.7%
0.01▲ 0%
EPS Growth %-599.24%-88.37%82.82%89.54%59.68%77.32%-59.08%105.77%-107.7%
EPS (Basic)-18.46-34.76-5.97-0.62-0.25-0.06-0.090.01-0.12-
Diluted Shares Outstanding1.06M1.52M11.83M13.16M28.5M85.46M94.09M126.79M133.67M148.57M
Basic Shares Outstanding1.06M1.51M11.74M13.16M28.5M85.46M94.09M119.09M133.67M139.31M
Dividend Payout Ratio----------

XTNT Balance Sheet

Xtant Medical Holdings, Inc. (XTNT) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Total Current Assets48.99M39.5M34.68M32.25M31.36M44.33M49.32M64.87M67.12M78.33M
Cash & Short-Term Investments2.58M2.86M6.8M5.24M2.34M18.24M20.3M5.71M6.2M10.4M
Cash Only2.58M2.86M6.8M5.24M2.34M18.24M20.3M5.71M6.2M10.4M
Short-Term Investments0000000000
Accounts Receivable18.99M12.71M9.99M10.12M6.88M7.15M10.85M20.73M20.66M25.52M
Days Sales Outstanding77.0256.1850.557.1347.0847.2568.3482.8864.3166.24
Inventory26.27M22.23M17.3M16.1M21.41M17.95M17.29M36.88M38.63M40.71M
Days Inventory Outstanding345.99249.56219.9265.13412.45287.62244.23375.68287.48285.8
Other Current Assets00000144K882K1.54M1.62M1.7M
Total Non-Current Assets95.12M66.2M11.74M10.91M10.1M10.36M10.91M27.74M26.72M27.99M
Property, Plant & Equipment15.84M9.91M7.17M6.79M6.04M6.47M7.17M10.21M10.96M13.63M
Fixed Asset Turnover5.68x8.33x10.06x9.52x8.84x8.54x8.09x8.94x10.70x10.83x
Goodwill41.53M41.53M3.21M3.21M3.21M3.21M3.21M7.3M7.3M7.3M
Intangible Assets35.94M13.83M573K515K457K400K344K10.09M8.36M7.06M
Long-Term Investments0000000000
Other Non-Current Assets1.8M925.25K793K394K402K287K197K141K103K120K
Total Assets
144.1M▲ 0%
105.7M▼ 26.6%
46.42M▼ 56.1%
43.16M▼ 7.0%
41.47M▼ 3.9%
54.69M▲ 31.9%
60.23M▲ 10.1%
92.61M▲ 53.8%
93.84M▲ 1.3%
106.32M▲ 0%
Asset Turnover0.62x0.78x1.56x1.50x1.29x1.01x0.96x0.99x1.25x1.33x
Asset Growth %0.73%-26.65%-56.08%-7.04%-3.91%31.9%10.12%53.77%1.32%19.14%
Total Current Liabilities31.12M25.82M12.05M9.39M25.65M11.08M15.22M22.99M28.58M35.5M
Accounts Payable10.47M9.32M6.46M2.19M2.29M2.62M3.49M7.05M7.92M6.86M
Days Payables Outstanding137.94104.5982.1736.0344.141.9149.3171.8558.9252.57
Short-Term Debt10.69M365.48K426K570K16.8M3.62M5.71M4.62M12.12M11.31M
Deferred Revenue (Current)9.62M16.01M5.15M6.63M000000
Other Current Liabilities3.42M-234.68K1.4M-4.46M4.71M3.18M4.46M05.57M16.54M
Current Ratio1.57x1.53x2.88x3.43x1.22x4.00x3.24x2.82x2.35x2.35x
Quick Ratio0.73x0.67x1.44x1.72x0.39x2.38x2.10x1.22x1.00x1.00x
Cash Conversion Cycle285.07201.14188.23286.23415.43292.96263.26386.71292.87299.47
Total Non-Current Liabilities120.05M138.59M78.14M77.97M1.3M12.73M10.84M18.27M22.29M20.43M
Long-Term Debt119.22M137.96M77.94M76.24M011.79M9.69M17.17M22.04M17.4M
Capital Lease Obligations832.15K624K204K1.73M1.3M945K1.15M875K213K5.39M
Deferred Tax Liabilities000000021K42K144K
Other Non-Current Liabilities0-22100000210K060K
Total Liabilities151.17M164.4M90.19M87.36M26.95M23.81M26.06M41.26M50.87M55.94M
Total Debt130.75M138.95M78.57M78.54M18.54M16.84M17.07M23.56M35.14M32.49M
Net Debt128.17M136.1M71.77M73.3M16.2M-1.4M-3.23M17.84M28.94M22.09M
Debt / Equity----1.28x0.55x0.50x0.46x0.82x0.82x
Debt / EBITDA---92.73x13.96x----2.98x
Net Debt / EBITDA---86.54x12.20x----2.03x
Interest Coverage-0.62x-2.57x-5.92x-0.41x-0.13x-3.87x-3.99x-3.46x-2.90x1.55x
Total Equity
-7.07M▲ 0%
-58.7M▼ 729.9%
-43.77M▲ 25.4%
-44.2M▼ 1.0%
14.51M▲ 132.8%
30.88M▲ 112.8%
34.17M▲ 10.6%
51.35M▲ 50.3%
42.96M▼ 16.3%
50.38M▲ 0%
Equity Growth %-179.69%-729.87%25.43%-0.99%132.83%112.78%10.65%50.27%-16.33%-6.35%
Book Value per Share-6.65-38.65-3.70-3.360.510.360.360.400.320.34
Total Shareholders' Equity-7.07M-58.7M-43.77M-44.2M14.51M30.88M34.17M51.35M42.96M50.38M
Common Stock17200000000
Retained Earnings-92.53M-144.95M-215.04M-223.27M-230.34M-235.19M-243.67M-243.01M-259.46M-254.54M
Treasury Stock0000000000
Accumulated OCI-7.86M-11.29M-12.91M000029K-316K139K
Minority Interest0000000000

XTNT Cash Flow Statement

Xtant Medical Holdings, Inc. (XTNT) cash flow — operating, investing & free cash flow history

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Cash from Operations-14.41M-543.18K1.21M-413K-731K439K-5.34M-9.52M-11.9M-11.9M
Operating CF Margin %-16.01%-0.66%1.68%-0.64%-1.37%0.79%-9.21%-10.42%-10.14%-
Operating CF Growth %-58.32%96.23%323.13%-134.08%-77%160.05%-1316.63%-78.15%-25.02%788.41%
Net Income-19.49M-52.41M-70.1M-8.22M-7.02M-4.85M-8.48M660K-16.45M1.75M
Depreciation & Amortization7.24M8.41M6.59M3.14M2.08M1.33M1.29M3.17M4.22M4.55M
Stock-Based Compensation522.99K211.81K694K515K1.08M2.21M2.46M2.74M4.12M2.36M
Deferred Taxes-467.74K25.26M53.25M958K000-1.9M21K0
Other Non-Cash Items6.78M14.68M9.85M5.75M6.4M954K2.2M-10.55M1.54M3.34M
Working Capital Changes-9M3.3M931K-2.55M-3.27M793K-2.81M-3.63M-5.35M-4.18M
Change in Receivables-2.68M4.75M2.54M-647K2.89M-319K-3.94M-8.74M-755K-6.27M
Change in Inventory-4.07M2.12M40K692K-5.79M2.62M-1.15M-1.89M-2.49M374K
Change in Payables319.09K-1.64M-3.01M-4.28M101K-332K875K2.98M1.03M-1.54M
Cash from Investing-5.82M-1.61M-367K-544K-1.3M-1.89M-1.56M-24.78M-3.73M2.65M
Capital Expenditures-5.83M-1.64M-624K-879K-1.54M-2.12M-1.76M-1.46M-4.11M-2.66M
CapEx % of Revenue6.48%1.99%0.86%1.36%2.9%3.83%3.04%1.59%3.51%-
Acquisitions16.4K32.5K257K335K000-23.5M00
Investments----------
Other Investing16.4K32.5K257K0241K225K205K175K383K5.31M
Cash from Financing16.43M2.43M3.1M-603K-861K17.5M9.02M19.69M16.07M-6.88M
Debt Issued (Net)3.09M2.25M-359K-455K-471K-592K-291K6.18M12.43M-6M
Equity Issued (Net)3.09M178K6.81M0620K18.43M9.31M14.01M4.46M-55K
Dividends Paid0000000000
Share Repurchases000000000-55K
Other Financing10.25M455-3.36M-148K-1.01M-337K0-500K-816K-829K
Net Change in Cash
-3.79M▲ 0%
277.69K▲ 107.3%
3.94M▲ 1319.2%
-1.56M▼ 139.6%
-2.9M▼ 85.6%
16.05M▲ 654.1%
2.12M▼ 86.8%
-14.58M▼ 787.9%
298K▲ 102.0%
3.56M▲ 0%
Free Cash Flow
-20.24M▲ 0%
-2.18M▲ 89.2%
588K▲ 126.9%
-1.29M▼ 319.7%
-2.28M▼ 76.2%
-1.68M▲ 26.4%
-7.11M▼ 323.9%
-10.97M▼ 54.4%
-16.01M▼ 45.9%
5.17M▲ 0%
FCF Margin %-22.49%-2.64%0.81%-2%-4.27%-3.03%-12.26%-12.02%-13.65%3.89%
FCF Growth %-78.12%89.21%126.92%-319.73%-76.16%26.36%-323.93%-54.41%-45.92%129.93%
FCF per Share-19.02-1.440.05-0.10-0.08-0.02-0.08-0.09-0.12-0.12
FCF Conversion (FCF/Net Income)0.74x0.01x-0.02x0.05x0.10x-0.09x0.63x-14.42x0.72x2.95x
Interest Paid00000846K1.45M2.55M3.64M981K
Taxes Paid0000000000

XTNT Key Ratios

Xtant Medical Holdings, Inc. (XTNT) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric201620172018201920202021202220232024TTM
Return on Equity (ROE)-2162.07%----48.39%-21.36%-26.09%1.54%-34.88%3.77%
Return on Invested Capital (ROIC)-4.79%-28.59%-85.5%-6.18%-1.88%-9.6%-16.77%-15.22%-12.84%-12.84%
Gross Margin69.21%60.65%60.23%65.73%64.48%58.79%55.44%60.75%58.17%62.02%
Net Margin-21.66%-63.44%-97.09%-12.71%-13.17%-8.77%-14.64%0.72%-14.03%1.32%
Debt / Equity----1.28x0.55x0.50x0.46x0.82x0.82x
Interest Coverage-0.62x-2.57x-5.92x-0.41x-0.13x-3.87x-3.99x-3.46x-2.90x1.55x
FCF Conversion0.74x0.01x-0.02x0.05x0.10x-0.09x0.63x-14.42x0.72x2.95x
Revenue Growth51.66%-8.21%-12.6%-10.42%-17.54%3.61%4.9%57.5%28.44%16.88%

XTNT Frequently Asked Questions

Xtant Medical Holdings, Inc. (XTNT) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Xtant Medical Holdings, Inc. (XTNT) reported $133.1M in revenue for fiscal year 2024. This represents a 28880% increase from $0.5M in 2008.

Xtant Medical Holdings, Inc. (XTNT) grew revenue by 28.4% over the past year. This is strong growth.

Yes, Xtant Medical Holdings, Inc. (XTNT) is profitable, generating $1.8M in net income for fiscal year 2024 (-14.0% net margin).

Dividend & Returns

Xtant Medical Holdings, Inc. (XTNT) has a return on equity (ROE) of -34.9%. Negative ROE indicates the company is unprofitable.

Xtant Medical Holdings, Inc. (XTNT) generated $5.2M in free cash flow for fiscal year 2024. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

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Xtant Medical Holdings, Inc. (XTNT) financial analysis — history, returns, DCA and operating performance tools

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