Company Analysis

Xtant Medical Holdings, Inc. (XTNT)

NYSE: XTNT · Surgical & Medical Instruments & Apparatus · Belgrade, MT · filing with the SEC since 2009
Grade5.2
◀ Past 2.9● Present 6.6▶ Future 5.7
1 est.

The grade of Xtant Medical Holdings, Inc.

Nine metrics read from its own filings, by tense
Headline grade
5.2/10
◀ Past2.930% of the headline
● Present6.640% of the headline
▶ Future5.730% of the headline

All three tenses have at least two readings, so the archetype blend applies as printed.

Of the nine metrics, 8 read as filed from the record and 1 is an SI estimate, each with its reasoning, its confidence and what would change it on its card.

◀ Past

What did they actually do?

2.9/1030% of the headline grade · 2 of 3 filed, 1 estimated

Surviving crises

as filed
0.4/10

Has it survived what it has been through?

7 warning events since 2017; the latest 2025-12-03.

weight 33% of this tense · 4th percentile among 121 sector filers · read for itself

From the record

Xtant Medical Holdings, Inc.'s filings since 2017 show 7 warning events of 5 kinds: a debt default or acceleration notice (8-K item 2.04, the latest 2025-12-03); a notice about its exchange listing (8-K item 3.01, 2 times, the latest 2019-05-28); a warning not to rely on past financial statements (8-K item 4.02, the latest 2017-11-20); an auditor change (8-K item 4.01, 2 times, the latest 2023-08-18); a late-report notice (Form NT 10-K or NT 10-Q, the latest 2017-11-09) (its current reports).

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Track record

as filed
4.1/10

What has it actually done, year after year?

+9.2% a year over 8 filed years; profitable in 2 of 8.

weight 45% of this tense · 41st percentile among 105 sector filers · read for its customers

From the record

Xtant Medical Holdings, Inc.'s 8 filed years say what it did: revenue went from $72 million in fiscal 2018 to $134 million in fiscal 2025, up 9.2% a year; it rose in 5 of 7 years; the deepest fall was 26% from fiscal 2018 to fiscal 2020; net income was positive in 2 of 8 of those years (its annual reports).

What it rests on

  • revenue growth over the filed span9.2%bottom 33% of its family
  • the share of years revenue rosebottom 39% of its family
  • the share of filed years with a profittop 39% of its family
  • the deepest fall from a revenue peak26.1%bottom 33% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Shareholder treatment

SI estimate
3.9/10

How has it treated the people who own it?

SI estimate 3.9/10, confidence 35 of 100 (one part).

weight 22% of this tense · 39th percentile among 120 sector filers · read for its shareholders

SI estimate Inferred, not read as filed

Why it is an estimate
Read from one part only, the share count over the years, which ranks in the bottom 39% of 120 in its family; fewer than two of the parts can be read: the share count over the years, and the cash returned against a positive operating cash flow or net income.
What the record cannot read
Fewer than two of the parts can be read: the share count over the years, and the cash returned against a positive operating cash flow or net income.
How it was reasoned
one part: the share count over the years, the one part on file, ranked among 120 in its family.
Confidence
35 of 100
What would change it
A filing that carries the missing parts replaces this estimate with the filed reading.

From the record

SI estimate, not a filed reading: Xtant Medical Holdings, Inc.'s shareholder treatment is put at 3.9 of 10 with a confidence of 35 of 100, because read from one part only, the share count over the years, which ranks in the bottom 39% of 120 in its family; fewer than two of the parts can be read: the share count over the years, and the cash returned against a positive operating cash flow or net income. A filing that carries the missing parts replaces this estimate with the filed reading.

● Present

What are they doing right now?

6.6/1040% of the headline grade · 3 of 3 filed

Financial health

as filed
6.9/10

Is it financially healthy right now?

ROE 10%: 10¢ of profit per shareholder dollar. Leverage 46%: owes 46¢ per asset dollar.

weight 45% of this tense · 69th percentile among 120 sector filers · read for itself

From the record

Return on equity: in the fiscal year ended 2025-12-31, Xtant Medical Holdings, Inc. earned about 10 cents of profit for every dollar of shareholders' money, and gross profitability: its products earned about 90 cents per dollar of everything the company owns. Leverage: it owed about 46 cents per dollar of assets, and net share issuance: its share count grew 12.3% over the year (the filed statements).

What it rests on

  • what it owes per dollar of assetstop 48% of its family
  • return on equitytop 20% of its family
  • gross profit against assetstop 6% of its family
  • the share count against the year beforebottom 49% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Industry position

as filed
6.9/10

How strong is its position in its industry?

top 31% of 109 in its family; net margin 3.7%.

weight 33% of this tense · 69th percentile among 109 sector filers · read for its customers

From the record

Xtant Medical Holdings, Inc.'s standing among 109 graded names in its industry family: revenue of $134 million in fiscal 2025 ranks in the top 43% by size; a net margin of 3.7% ranks in the top 29%; revenue growth of 32.2% a year over the last 3 filed years ranks in the top 22% (its annual reports).

What it rests on

  • revenue against the family$134Mtop 43% of its family
  • net margin3.7%top 29% of its family
  • three-year revenue growth32.2%top 22% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Leadership

as filed
5.8/10

What are the people in charge doing?

top 42% of 91 in its family for leadership; chief executive since 2019.

weight 22% of this tense · 58th percentile among 91 sector filers · read for its shareholders

From the record

Xtant Medical Holdings, Inc.'s leadership, from its insiders' filings and its current reports: the chief executive on the record is Browne, Sean E (President and CEO, as filed), filing under that title since 2019-10-15, 7.1 years (top 33% of its family); the 8 officers and directors filing in the last fifteen months have been on the record a median of 4 years (bottom 24%); 2 officer or director changes were reported on Form 8-K since 2023-11-13, against the 8 people in charge now (top 17%; fewer changes for each person reads higher) (the Form 4 record, its Form 8-K reports). Years count from a person's first filing in the SEC's data sets, which begin in 2006, so each is a floor.

What it rests on

  • officer and director changes on Form 8-K, against the people in charge2 in three years among 8 peopletop 17% of its family
  • the median years the people in charge have filed4.0 yearsbottom 24% of its family
  • the chief executive's years on the record7.1 yearstop 33% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

▶ Future

What are they set up to do next?

5.7/1030% of the headline grade · 3 of 3 filed

Room to expand

as filed
4.4/10

How much room does it have to grow?

bottom 44% of 104 in its family for room to expand.

weight 45% of this tense · 44th percentile among 104 sector filers · read for itself

From the record

Xtant Medical Holdings, Inc.'s room to grow, from the newest filed statements (fiscal 2025): cash of $17 million against debt of $11 million leaves 6.4% of its assets as net cash, bottom 43% of its family; cash from operations less capital spending is 7.6% of revenue (top 27%); a gross margin of 62.9% (top 44%); research spending of 1.6% of revenue (bottom 5%) (its annual report).

What it rests on

  • cash less debt against assets6.4%bottom 43% of its family
  • cash from operations less capital spending against revenue7.6%top 27% of its family
  • gross margin62.9%top 44% of its family
  • research spending against revenue1.6%bottom 5% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Growth drivers

as filed
7.4/10

What could actually drive growth from here?

top 26% of 105 in its family for growth drivers.

weight 33% of this tense · 74th percentile among 105 sector filers · read for its customers

From the record

Xtant Medical Holdings, Inc.'s growth drivers, from the filed years to fiscal 2025: revenue grew 32.2% a year over the last three filed years against 9.2% over all 8, speeding up (top 7% of its family); the newest year grew 14.2% (top 49%); research spending grew 31.9% a year (top 14%); capital spending grew 10.5% a year (top 35%) (its annual reports). Xtant Medical Holdings, Inc. reported 3 product lines in fiscal 2025: Orthobiologics at $73 million (54%), Spinal Implant at $42 million (32%), License at $19 million (14%); 2 of 3 grew against the year before (its annual report).

What it rests on

  • three-year growth against the whole span+23.0 points a yeartop 7% of its family
  • the newest year's revenue growth14.2%top 49% of its family
  • three-year growth of research spending31.9%top 14% of its family
  • three-year growth of capital spending10.5%top 35% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

Expectations vs reality

as filed
5.7/10

Did its newest year beat what its own record pointed to?

top 43% of 88 in its family for expectations against reality.

weight 22% of this tense · 57th percentile among 88 sector filers · read for its shareholders

From the record

Xtant Medical Holdings, Inc.'s newest year against its own record: revenue of $134 million in fiscal 2025 came in 19.7% below the $167 million its prior three years' pace pointed to (bottom 22% of its family); net income of $5 million against a prior three-year average of $8 million (top 7%); a net margin of 3.7% against -9.3% before (top 44%) (its annual reports).

What it rests on

  • revenue against the prior three years' pace-19.7%bottom 22% of its family
  • net income against the prior three years' average+162%top 7% of its family
  • net margin against its prior average+13.0 pointstop 44% of its family

A production reading, recomputed from the filings on every data build, read from EDGAR Nov 13, 2026.

The grade is the company against its own industry, from its filings. It is not a view on the share price. How the grade is made

SI Assistanton XTNT · research, not advice