Xtant Medical Holdings, Inc.

Xtant Medical Holdings, Inc.

XTNTยทAMEX

$0.46

-0.45%
HealthcareMedical - Devices

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.

At a Glance

Live Snapshot
Market Cap$64.53M
EPS0.0400
P/E Ratio11.50
Earnings Date07/30/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

High confidence

Valuation multiple is compressed (P/E 11.5).

Valuation inputs: P/E 11.5, earnings yield +8.7%, momentum -0.5%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is acceptable (ROE +9.8%, ROIC +6.5%).

Profitability stack: net margin +3.7%, ROE +9.8%, ROIC +6.5%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Risk profile is balanced but has notable pressure points to monitor.

Risk factors: liabilities/assets +45.9%, momentum -0.5%, net margin +3.7%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

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Xtant Medical Holdings, Inc. Market vs Earnings Trajectory

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Loading price and EPS data...

Xtant Medical Holdings, Inc.

Xtant Medical Holdings, Inc. Fair Value Envelope

XTNT ยท AMEX

Our analysis suggests that XTNT has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $0.4601, this represents a potential HIDDEN relative to our calculated worth for Xtant Medical Holdings, Inc..

Intrinsic Value
Current Price: $0.4601
3Y-144.0%
5Y-116.0%
10Y-100.0%
3Y+131.0%
5Y+151.0%
10Y+49.0%
3Y-159.0%
5Y-171.0%
10Y-126.0%
3Y-335.0%
5Y-1816.0%
10Y-187.0%
3Y-243.0%
5Y-547.0%
10Y-150.0%
3Y+56.0%
5Y+127.0%
10Y-35.0%
Xtant Medical Holdings, Inc.

Xtant Medical Holdings, Inc. Profit Bridge

XTNT ยท AMEX
Revenue133.93M
Cost of Goods Sold (49.65M)
Gross Profit84.27M
Operating Expenses (76.99M)
Operating Income7.28M
Interest Expense (3.67M)
Other Income/Expense-283.00K
Pretax Income7.00M
Income Tax (2.03M)
Net Income4.97M
Net Income
4.97M

Profitability Analysis

Gross Margin

62.9%

Exceptional pricing power and cost management. The company retains over half of revenue after direct costs.

Operating Margin

5.4%

Acceptable margins but limited operational leverage. Operating expense control is important.

Net Profit Margin

3.7%

Minimal profitability after all expenses. Limited financial flexibility for reinvestment or shareholder returns.

Effective Tax Rate

29.0%

Higher tax burden may reflect limited tax optimization or operations in high-tax jurisdictions.

Profitability Insight

Margin squeeze alert: Healthy gross margins but weak operating margins suggest excessive operating expenses. Cost optimization could unlock significant value.

62.92%
Gross Profit Margin
8%
3Y+14.0%
5Y-2.0%
10Y-9.0%
5.44%
Operating Profit Margin
-153%
3Y-147.0%
5Y-486.0%
10Y-165.0%
3.71%
Net Profit Margin
-126%
3Y-125.0%
5Y-128.0%
10Y-117.0%
9.76%
Return on Equity
-125%
3Y-139.0%
5Y-120.0%
10Y-96.0%
5.28%
Return on Assets
-130%
3Y-137.0%
5Y-131.0%
10Y-139.0%
6.49%
Return on Invested Capital
-142%
3Y-149.0%
5Y-386.0%
10Y-206.0%
XTNT

Xtant Medical Holdings, Inc. Cash Conversion Engine

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Net Income4.97M
Depreciation & Amortization5.22M
Stock-Based Compensation2.89M
Change in Working Capital-3.05M
Others2.50M
Capital Expenditures-2.38M
Free Cash Flow10.16M

Cash Flow Quality Analysis

FCF Conversion Rate

204.4%

Excellent cash generation. The company converts earnings to cash at or above 100%, indicating high-quality earnings.

CapEx Intensity

19.0%

Asset-light business model. Low capital requirements leave more cash available for shareholders and growth investments.

FCF Growth Trend

+163.5%

Strong FCF growth demonstrates improving cash generation and business momentum. Positive signal for sustainability.

Working Capital Impact

-$3.05M

Moderate working capital outflow. Typical for growing businesses, but ensure it's supporting revenue growth, not inefficiency.

Cash Flow Quality Insight

Exceptional cash generation: High-quality earnings converting to growing free cash flow. The company demonstrates strong pricing power, efficient operations, and disciplined capital allocation.

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Xtant Medical Holdings, Inc. Funding & Solvency Profile

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Cash & Cash Equivalents12.14M
Net Receivables17.18M
Inventory31.88M
Other Current Assets1.42M
Total Current Assets63 M
Property, Plant & Equipment8.90M
Goodwill & Intangible Assets6.35M
Long-Term Investments0.00
Other Non-Current Assets131.00K
Total Non-Current Assets9 M
Total Assets
78.00M

Financial Health Analysis

Current Ratio

3.34x

Excellent liquidity position. The company can easily cover its short-term obligations with substantial cushion.

Debt-to-Equity Ratio

0.60x

Balanced capital structure with moderate leverage. Equity exceeds debt, suggesting healthy financial stability.

Working Capital

44 M

Strong working capital position provides significant operational flexibility and financial cushion.

Asset Composition

80% Current

Asset-light business model with high liquidity. Majority of assets are easily convertible to cash.

Financial Health Insight

Strong financial foundation: Excellent liquidity combined with conservative leverage suggests the company is well-positioned to weather economic uncertainties and fund growth opportunities.

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Xtant Medical Holdings, Inc. Street Expectations Map

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Wall Street analysts project that XTNT stock may rise significantly over the coming 12 months. The consensus 1-year price target stands at 1.50, with estimates ranging from a low of 1.50 to a high of 1.50.

Lowest Target
1.50
226.02%
Consensus Target
1.50
226.02%
Highest Target
1.50
226.02%

The consensus 1-year price target stands at 1.50, with estimates ranging from a low of 1.50 to a high of 1.50.

Analyst Consensus Analysis

Upside Potential

+226.0%

Substantial upside potential. Analysts see significant value gap, suggesting the stock may be materially undervalued at current levels.

Analyst Agreement

0.0% spread

High analyst agreement. Narrow target range indicates strong consensus on valuation, suggesting clear investment thesis and predictable outlook.

Analyst Conviction

Very High

Strong buy conviction: High upside with tight consensus suggests compelling investment opportunity backed by analyst confidence.

Market Sentiment Insight

Rare opportunity: Exceptional upside potential with strong analyst consensus creates a compelling setup. The combination of significant price target premium and tight agreement suggests high-conviction undervaluation that may attract institutional capital.

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Xtant Medical Holdings, Inc. Insider Positioning

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During the last 12 months, there has been no insider trading activity reported for XTNT.

3 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

3-6 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

6-9 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

9-12 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

Top Buyers

No buying activity

Top Sellers

No selling activity

Insider Activity Analysis

Net Insider Sentiment

Neutral

No insider trading activity reported. This could indicate blackout periods, lack of conviction, or regulatory restrictions.

Insider Participation

No Activity

No insider trading activity reported from any insiders in the past year.

No Dividend Yield Data

XTNT has not reported any dividend yield values in the available annual periods.

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xtnt Dividend History

XTNT
10Y CAGR +0%
Latest $0
Annual $0
Stable dividend payments
Last Period: +0%