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

XTNT NYSE Surgical & Medical Instruments & Apparatus DE CIK: 0001453593
Updated This Month • Analysis: May 14, 2026 • SEC Data: 2026-03-31
Combined AI Grade
C
68% Confidence
N/A
C
68% Conf
Pending
Analysis scheduled

📊 XTNT Key Takeaways

Revenue: $20.9M
Net Margin: -14.8%
Free Cash Flow: $-2.3M
Current Ratio: 3.34x
Debt/Equity: 0.17x
EPS: $-0.02
AI Grade: C with 68% confidence
Xtant Medical Holdings, Inc. (XTNT) receives a C fundamental grade with 68% confidence from our AI analysis based on SEC 10-K filings. With revenue of $20.9M, net profit margin of -14.8%, and return on equity (ROE) of -6.4%, Xtant Medical Holdings, Inc. demonstrates mixed 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 is a growth-stage medical device company achieving strong 14.2% revenue growth and healthy 57.3% gross margins, but remains unprofitable with negative operating cash flow (-$2.1M) and is destroying shareholder value (ROE: -6.4%). While improving loss trajectory and low leverage provide runway, the company's inability to convert strong gross margins to operating profitability signals fundamental operational challenges that must be resolved.

Xtant Medical Holdings, Inc. Key Strengths (XTNT)

Claude
  • + Revenue growth of 14.2% YoY demonstrates market demand and expansion
  • + Gross margin of 57.3% indicates strong product/pricing power in medical devices
  • + Improving loss profile with net income improving 130.2% YoY toward breakeven
  • + Strong balance sheet with low debt-to-equity ratio of 0.17x and good liquidity ratios (current: 3.34x, quick: 1.64x)
  • + Total assets of $78M and stockholders equity of $48.6M provide adequate financial base

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

Claude
  • ! Negative operating cash flow (-$2.1M) and free cash flow (-$2.3M) indicate the business is not self-sustaining
  • ! Operating margin of -14% and net margin of -14.8% with negative ROE (-6.4%) and ROA (-4.0%) indicate value destruction
  • ! Negative interest coverage ratio of -4.9x means operating losses prevent debt service from operations
  • ! Cash runway of approximately 5 years at current burn rate with only $12.1M cash on hand
  • ! Gap between strong gross margins and negative operating income suggests unresolved operational or cost structure issues

Key Metrics to Watch

Claude
  • * Operating cash flow trend toward positive territory (critical inflection point)
  • * Path to operating profitability and timeline to achieve positive net income
  • * Operating expense ratio as percentage of revenue (can they achieve operational leverage?)
  • * Cash burn rate and runway extension through profitability or capital raises
  • * Gross margin sustainability as company scales production

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

Revenue
$20.9M
Net Income
$-3.1M
EPS (Diluted)
$-0.02
Free Cash Flow
$-2.3M
Total Assets
$78.0M
Cash Position
$12.1M

💡 AI Analyst Insight

Strong liquidity with a 3.34x current ratio provides a solid financial cushion.

XTNT Profit Margin, ROE & Profitability Analysis

Gross Margin 57.3%
Operating Margin -14.0%
Net Margin -14.8%
ROE -6.4%
ROA -4.0%
FCF Margin -11.1%

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

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

Net Margin
XTNT -14.8%
vs
Sector Avg 12.0%
XTNT Sector
ROE
XTNT -6.4%
vs
Sector Avg 15.0%
XTNT Sector
Current Ratio
XTNT 3.3x
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
-6.4%
Sector avg: 15%
Net Profit Margin
-14.8%
Sector avg: 12%
Revenue Growth
N/A
Year-over-year
Debt/Equity
0.17x
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
3.34x
Quick Ratio
1.64x
Debt/Equity
0.17x
Debt/Assets
37.7%
Interest Coverage
-4.88x
Long-term Debt
$8.1M

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
-11.1%
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
Q1 2026 $20.9M $58.0K $0.00
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

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
-$2.1M
Cash generated from operations
Stock Buybacks
$726.7K
Shares repurchased (TTM)
Capital Expenditures
$194.0K
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
May 13, 2026 10-Q form10-q.htm View →
May 13, 2026 8-K form8-k.htm View →
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 →

Frequently Asked Questions about XTNT

What is the AI rating for XTNT?

Xtant Medical Holdings, Inc. (XTNT) has an AI grade of C with 68% confidence, based on fundamental analysis of SEC EDGAR filings.

What are XTNT's key strengths?

Claude: Revenue growth of 14.2% YoY demonstrates market demand and expansion. Gross margin of 57.3% indicates strong product/pricing power in medical devices.

What are the risks of investing in XTNT?

Claude: Negative operating cash flow (-$2.1M) and free cash flow (-$2.3M) indicate the business is not self-sustaining. Operating margin of -14% and net margin of -14.8% with negative ROE (-6.4%) and ROA (-4.0%) indicate value destruction.

What is XTNT's revenue and growth?

Xtant Medical Holdings, Inc. reported revenue of $20.9M.

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 $-0.02.

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 grade reflects both perspectives for balanced insights.

What is XTNT's fundamental grade?

Based on our AI fundamental analysis in June 2026, Xtant Medical Holdings, Inc. has a C grade with 68% confidence. Review the strengths and risks sections above for full context. This is not investment advice.

Is XTNT stock overvalued or undervalued?

Valuation metrics for XTNT: ROE of -6.4% (sector avg: 15%), net margin of -14.8% (sector avg: 12%). Compare these metrics with sector averages to assess valuation.

What is XTNT's AI grade for 2026?

Our dual AI analysis gives Xtant Medical Holdings, Inc. a combined C grade 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 $-2.1M, with capital expenditures of $194.0K. FCF margin is -11.1%.

How does XTNT compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin -14.8% (avg: 12%), ROE -6.4% (avg: 15%), current ratio 3.34 (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: May 14, 2026 | Data as of: 2026-03-31 | Powered by Claude AI