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Xtant Medical Holdings, Inc. (XTNT) Stock Fundamental Analysis & AI Rating 2026

XTNT NYSE Surgical & Medical Instruments & Apparatus DE CIK: 0001453593
Recently Updated • Analysis: Apr 19, 2026 • SEC Data: 2025-12-31
BUY
70% Conf
Pending
Analysis scheduled

📊 XTNT Key Takeaways

Revenue: $133.9M
Net Margin: 3.7%
Free Cash Flow: $10.2M
Current Ratio: 2.65x
Debt/Equity: 0.22x
EPS: $0.03
AI Rating: BUY with 70% confidence
Xtant Medical Holdings, Inc. (XTNT) receives a BUY rating with 70% confidence from our AI fundamental analysis based on SEC 10-K filings. With revenue of $133.9M, net profit margin of 3.7%, and return on equity (ROE) of 9.8%, Xtant Medical Holdings, Inc. demonstrates strong fundamentals in the Healthcare sector. Below is our complete XTNT stock analysis for 2026.

Is Xtant Medical Holdings, Inc. (XTNT) a Good Investment?

Claude

Xtant Medical demonstrates strong fundamental momentum with 14.2% revenue growth and exceptional 130% net income acceleration, indicating emerging operating leverage in a medical device business. A fortress balance sheet with 0.22x D/E leverage, strong liquidity (2.65x current ratio), and consistent free cash flow generation ($10.2M) provide substantial downside protection.

Why Buy Xtant Medical Holdings, Inc. Stock? XTNT Key Strengths

Claude
  • + Strong revenue growth of 14.2% YoY with exceptional net income growth of 130%+, demonstrating operating leverage is improving
  • + Fortress balance sheet: low leverage (0.22x D/E), strong liquidity (2.65x current ratio), $17.1M cash reserves (18% of assets)
  • + Excellent 62.9% gross margin typical of medical device industry, supporting substantial profitability upside potential
  • + Positive free cash flow generation of $10.2M (7.6% FCF margin) with disciplined CapEx spending of only $2.4M

XTNT Stock Risks: Xtant Medical Holdings, Inc. Investment Risks

Claude
  • ! Operating margin constrained at only 5.4% and net margin at 3.7%, limiting profitability expansion and leaving little room for error
  • ! Interest coverage ratio of 2.0x is concerning; any material revenue decline could create debt service stress
  • ! Minimal insider buying activity (1 Form 4 filing in 90 days) provides limited visibility into management confidence
  • ! Modest returns on equity (9.8%) and assets (5.3%) indicate suboptimal capital efficiency despite capital-light model

Key Metrics to Watch

Claude
  • * Operating margin expansion trajectory - critical to validate that operating leverage thesis is sustainable
  • * Interest coverage ratio trend - must improve above 3.0x to significantly reduce financial risk profile
  • * Free cash flow conversion and sustainability relative to net income growth acceleration
  • * Gross margin stability - any compression would signal product mix pressure or competitive pricing challenges

Xtant Medical Holdings, Inc. (XTNT) Financial Metrics & Key Ratios

Revenue
$133.9M
Net Income
$5.0M
EPS (Diluted)
$0.03
Free Cash Flow
$10.2M
Total Assets
$94.1M
Cash Position
$17.1M

💡 AI Analyst Insight

Strong liquidity with a 2.65x current ratio provides a solid financial cushion.

XTNT Profit Margin, ROE & Profitability Analysis

Gross Margin 62.9%
Operating Margin 5.4%
Net Margin 3.7%
ROE 9.8%
ROA 5.3%
FCF Margin 7.6%

XTNT vs Healthcare Sector: How Xtant Medical Holdings, Inc. Compares

How Xtant Medical Holdings, Inc. compares to Healthcare sector averages

Net Margin
XTNT 3.7%
vs
Sector Avg 12.0%
XTNT Sector
ROE
XTNT 9.8%
vs
Sector Avg 15.0%
XTNT Sector
Current Ratio
XTNT 2.7x
vs
Sector Avg 2.0x
XTNT Sector
Debt/Equity
XTNT 0.2x
vs
Sector Avg 0.6x
XTNT Sector

Sector benchmarks are approximate industry averages. Actual sector performance may vary.

Is Xtant Medical Holdings, Inc. Stock Overvalued? XTNT Valuation Analysis 2026

Based on fundamental analysis, Xtant Medical Holdings, Inc. has mixed fundamental signals relative to the Healthcare sector in 2026.

Return on Equity
9.8%
Sector avg: 15%
Net Profit Margin
3.7%
Sector avg: 12%
Revenue Growth
N/A
Year-over-year
Debt/Equity
0.22x
Sector avg: 0.6x

Note: This is a fundamental analysis based on SEC filings. For P/E ratio, price targets, and market-based valuation, consult financial data providers. This is not investment advice.

Xtant Medical Holdings, Inc. Balance Sheet: XTNT Debt, Cash & Liquidity

Current Ratio
2.65x
Quick Ratio
1.63x
Debt/Equity
0.22x
Debt/Assets
45.9%
Interest Coverage
1.98x
Long-term Debt
$11.0M

XTNT Revenue & Earnings Growth: 5-Year Financial Trend

XTNT 5-year financial data: Year 2021: Revenue $55.3M, Net Income -$7.0M, EPS $-0.25. Year 2022: Revenue $58.0M, Net Income -$4.8M, EPS $-0.06. Year 2023: Revenue $91.3M, Net Income -$8.5M, EPS $-0.09. Year 2024: Revenue $117.3M, Net Income $660.0K, EPS $0.01. Year 2025: Revenue $133.9M, Net Income -$16.4M, EPS $-0.12.
Revenue
Net Income
EPS (right axis)

5-Year Trend Summary: Xtant Medical Holdings, Inc.'s revenue has grown significantly by 142% over the 5-year period, indicating strong business expansion. The most recent EPS of $-0.12 indicates the company is currently unprofitable.

XTNT Revenue Growth, EPS Growth & YoY Performance

Revenue Growth
N/A
Year-over-year
Net Income Growth
N/A
Year-over-year
EPS Growth
N/A
Earnings per share
FCF Margin
7.6%
Free cash flow / Revenue

XTNT Quarterly Earnings & Performance

Quarterly financial performance data for Xtant Medical Holdings, Inc. including revenue, net income, and earnings per share.
Quarter Revenue Net Income EPS
Q3 2025 $27.9M $58.0K $0.01
Q2 2025 $29.9M $58.0K $0.02
Q1 2025 $27.9M $58.0K $0.00
Q3 2024 $25.0M -$2.1M $0.04
Q2 2024 $20.2M -$2.1M $-0.02
Q1 2024 $17.9M -$2.1M $-0.02
Q3 2023 $14.5M -$1.7M $-0.03
Q2 2023 $15.3M -$1.7M $-0.02

Data sourced from SEC EDGAR 10-Q quarterly filings. Figures may represent quarterly or cumulative values.

Xtant Medical Holdings, Inc. Dividends, Buybacks & Capital Allocation

Operating Cash Flow
$12.5M
Cash generated from operations
Stock Buybacks
$726.7K
Shares repurchased (TTM)
Capital Expenditures
$2.4M
Investment in assets
Dividends
None
No dividend program

XTNT SEC Filings: Latest 10-K & 10-Q Analysis

Access official SEC EDGAR filings for Xtant Medical Holdings, Inc. (CIK: 0001453593)

📋 Recent SEC Filings

Date Form Document Action
Apr 13, 2026 8-K form8-k.htm View →
Mar 31, 2026 10-K form10-k.htm View →
Mar 31, 2026 8-K form8-k.htm View →
Mar 2, 2026 8-K form8-k.htm View →
Feb 18, 2026 4 xslF345X05/primary_doc.xml View →

Frequently Asked Questions about XTNT

What is the AI rating for XTNT?

Xtant Medical Holdings, Inc. (XTNT) has an AI rating of BUY with 70% confidence, based on fundamental analysis of SEC EDGAR filings.

What are XTNT's key strengths?

Claude: Strong revenue growth of 14.2% YoY with exceptional net income growth of 130%+, demonstrating operating leverage is improving. Fortress balance sheet: low leverage (0.22x D/E), strong liquidity (2.65x current ratio), $17.1M cash reserves (18% of assets).

What are the risks of investing in XTNT?

Claude: Operating margin constrained at only 5.4% and net margin at 3.7%, limiting profitability expansion and leaving little room for error. Interest coverage ratio of 2.0x is concerning; any material revenue decline could create debt service stress.

What is XTNT's revenue and growth?

Xtant Medical Holdings, Inc. reported revenue of $133.9M.

Does XTNT pay dividends?

Xtant Medical Holdings, Inc. does not currently pay dividends.

Where can I find XTNT SEC filings?

Official SEC filings for Xtant Medical Holdings, Inc. (CIK: 0001453593) including 10-K, 10-Q, and 8-K reports are available on SEC EDGAR.

What is XTNT's EPS?

Xtant Medical Holdings, Inc. has a diluted EPS of $0.03.

How is the AI analysis conducted?

Two independent AI systems — Claude (Anthropic) and ChatGPT (OpenAI) — analyze SEC EDGAR filings including 10-K annual reports and 10-Q quarterly reports. Each AI evaluates financial health, profitability ratios, balance sheet strength, and growth metrics. The combined rating reflects both perspectives for balanced insights.

Is XTNT a good stock to buy right now?

Based on our AI fundamental analysis in April 2026, Xtant Medical Holdings, Inc. has a BUY rating with 70% confidence. The AI analysis suggests favorable fundamentals based on SEC filings. This is not investment advice.

Is XTNT stock overvalued or undervalued?

Valuation metrics for XTNT: ROE of 9.8% (sector avg: 15%), net margin of 3.7% (sector avg: 12%). Compare these metrics with sector averages to assess valuation.

Should I buy XTNT stock in 2026?

Our dual AI analysis gives Xtant Medical Holdings, Inc. a combined BUY rating for 2026. Revenue is data pending, with profitability at or below sector average. Always conduct your own research.

What is XTNT's free cash flow?

Xtant Medical Holdings, Inc.'s operating cash flow is $12.5M, with capital expenditures of $2.4M. FCF margin is 7.6%.

How does XTNT compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin 3.7% (avg: 12%), ROE 9.8% (avg: 15%), current ratio 2.65 (avg: 2).

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Disclaimer: This analysis is generated by Claude AI (Anthropic) and ChatGPT (OpenAI) based on publicly available SEC EDGAR filings. It does not include stock price data and should not be considered financial advice. All fundamental data is sourced from SEC public domain filings. Always conduct your own research and consult with a qualified financial advisor before making investment decisions.
Data Source: SEC EDGAR | Analysis Date: Apr 19, 2026 | Data as of: 2025-12-31 | Powered by Claude AI