Xtant Medical Holdings, Inc.
Rank #9Op. LeverageXTNT · NYSE · Healthcare
Xtant Medical Holdings, Inc. (XTNT) — Rank #9 by gross profitability (GP/assets 1.06) · ROE 12.4% · Piotroski F-Score 8 / 9.
As-of 2026-09-28 · CIK 0001453593 · all metrics point-in-time as of the filing date.
About
Xtant Medical Holdings, Inc. provides regenerative medicine products and medical devices for orthopedic and neurological surgeons in the United States and internationally.
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It offers OsteoSponge, a natural scaffold for cellular in-growth; OsteoSelect DBM Putty, a moldable demineralized bone matrix; OsteoSelect PLUS DBM Putty to deliver handling properties and ensure patient safety through validated and terminal sterilization; 3Demin, a family of allografts that maximizes osteoconductivity and the osteoinductive potential of human bone; OsteoFactor Pro, a processed allograft that contains retained growth factors found within the endosteum layer of allograft bone; OsteoVive Plus, an aseptically processed and viable bone allograft; and nanOss products that provide osteoconductive nano-structured hydroxyapatite and an engineered extracellular matrix bioscaffold collagen carrier. It also provides 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. In addition, it offers cervical products comprising Spider cervical plating, Streamline OCT system, and CervAlign systems; thoracolumbar products, such as of Axle-X interspinous fusion, Streamline MIS spinal fixation, Streamline TL spinal fixation, and HPS 2.0 hybrid performance systems; Silex sacroiliac joint fusion systems; interbody products comprising Calix for cervical and thoracolumbar applications, Irix-C Cervical and Irix-A lumbar integrated dusion systems, and Fortilink implants; Contact ALP (Anterior Lumbar Plate) System; and interlaminar stabilization products, such as Coflex device for lumbar spinal stenosis; and CoFix implants for back and disc pain.
The company is headquartered in Belgrade, Montana.
- Industry
- Medical Devices
- Sector
- Healthcare
- State
- DE
- Filer Category
- Non-accelerated filerSmaller reporting company
- Fiscal Year End
- December 31
- Website
- xtantmedical.com
Financials
Each fiscal year is read as-of that year’s own 10-K filing, so nothing restated after the fact leaks backwards. Line items this filer never tagged are omitted. Hover or tap a badge for the diagnostic behind it.
| Fiscal year end | 2025-12-31filed 2026-03-31 | 2024-12-31filed 2025-03-06 | 2023-12-31filed 2024-04-01 | 2022-12-31filed 2023-03-07 |
|---|---|---|---|---|
| Operating | ||||
| Depreciation & amortization | 5.2 | 4.2 | 3.2 | 1.3 |
| Stock-based compensation | 2.9 | 4.1 | 2.7 | 2.5 |
| Change in receivables | 0.6 | 0.8 | 8.7 | 3.9 |
| Change in inventory | 2.0 | 2.5 | 1.9 | 1.2 |
| Change in payables | (3.1) | 1.0 | 3.0 | 0.9 |
| Operating cash flow | 12.5 | (11.9) | (9.5) | (5.3) |
| Investing | ||||
| Capital expenditures | 2.4 | 4.1 | 1.5 | 1.8 |
| Acquisitions, net of cash | — | — | 4.5 | — |
| Investing cash flow | 7.9 | (3.7) | (24.8) | (1.6) |
| Financing | ||||
| Debt issued | — | 5.0 | 4.8 | — |
| Debt repaid | 8.0 | — | — | — |
| Financing cash flow | (9.6) | 16.1 | 19.7 | 9.0 |
| Summary | ||||
| Free cash flow | 10.2 | (16.0) | (11.0) | (7.1) |
Figures are as originally filed with the SEC (point-in-time), not restated, so they can differ slightly from sites that show later-restated numbers. Why point-in-time?