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XTNT · AMEX · Medical - Devices

Xtant Medical

Supplies orthobiologics, spine implants, and U.S. surgical-hemostasis products.

$0.3700
After-hours close−0.04 (−8.78%)
At close$0.4056(+22.91%)
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Profile

Xtant Medical Holdings, Inc.XTNTHealth Care

Supplies orthobiologics, spinal fixation and interbody implants, and U.S.-distributed surgical-hemostasis products to clinical customers. Sales run largely through independent U.S. agents, while human-tissue supply, procedure reimbursement, FDA requirements, and third-party manufacturing shape the business.

Develops orthobiologics, spinal implants, and surgical-hemostasis products for spine surgeons, neurosurgeons, hospitals, and distributors. Its orthobiologics range includes demineralized bone-matrix allografts, synthetic bone-graft substitutes, cortical-fiber allografts, and amniotic membranes; continuing hardware includes cervical plates, fixation systems, interbodies, and fusion products. HEMOBLAST Bellows broadens the offering through exclusive U.S. distribution.

Generates product revenue from orthobiologics and spinal implants, net of returns, discounts, and rebates, and uses a U.S. network of more than 670 independent commissioned and stocking agents, supported by direct employees. The business relies on human tissue and recovery-agency agreements, reimbursement for procedures, regulatory compliance, and some sole-source suppliers. Dilon manufactures HEMOBLAST in France and retains manufacturing and regulatory responsibility.

Company facts

CEOSean E. Browne
ListedOct 15, 2015
ExchangeAMEX
HeadquartersBelgrade, MT
CountryUnited States
Employees151
CIK0001453593
ISINUS98420P3082

Key statistics

Market cap$53.9M
EPS (ttm)−$0.0813
P/E (ttm)−4.72
ROE-23.5%
P/B1.35
P/S0.4918
Dividend yield
Beta0.55vs XLV −0.38

Year to date −45.9% · Average volume (30d) 2.9M

Analysts

Price target, next 12 months$1.50+294.7%Median of 5 analysts · vs the Aug 28 close
ConsensusBuy4 of 5 analysts rate it buy or better

Ratings

Target range

Latest analyst notes

No analyst notes in the last 24 months.

Earnings

EPS

Estimate−$0.02
ReportedDue Nov 10, 2026

Revenue

Estimate$26.3M
ReportedDue Nov 10, 2026

History

Report dateEPS estEPSSurpriseRevenue estRevenueSurpriseNext session
Aug 11, 2026Q2 FY26−$0.02−$0.07−250.0%$24.9M$23.0M−7.4%−28.25%
May 13, 2026Q1 FY26−$0.02−$0.02−33.3%$20.2M$20.9M+3.6%−2.08%
Mar 31, 2026Q4 FY25$0.00$0.00$30.8M$32.4M+5.2%−4.64%
Nov 10, 2025Q3 FY25−$0.01$0.01+290.5%$30.8M$33.3M+8.1%−0.62%
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Financial highlights

11 quartersQ1 FY25Q2 FY25Q3 FY25Q4 FY25Q1 FY26Q2 FY26
Revenue$32.9M$35.4M$33.3M$32.4M$20.9M$23.0M
Gross profit$20.2M$24.3M$22.0M$17.8M$12.0M$13.3M
Operating income$1.1M$4.6M$2.5M−$944.0K−$2.9M−$9.2M
Net income$58.0K$3.6M$1.3M$57.0K−$3.1M−$9.4M
Diluted EPS$0.00$0.02$0.01$0.00−$0.02−$0.07
Gross margin61.5%68.6%66.1%54.9%57.3%57.9%
Operating margin3.2%13.1%7.6%-2.9%-14.0%-39.8%

Fiscal years (4-quarter sums)FY24 $117.3M · FY25 $133.9M

Revenue by product · Q2 FY26

Orthobiologics$17.4M · 75%
Spinal Implant$5.7M · 25%

Revenue by geography · Q2 FY26

United States$22.5M · 98%
Non-US$569.0K · 2%

Balance sheet, Jun 30, 2026Cash & short-term investments $9.9M · Total debt $26.0M · Total assets $79.7M · Shareholders' equity $40.0M

Dividends

No dividends on record.

Ownership

Institutions 57.22%80.25M sharesInsiders 11.33%15.89M sharesOther 31.45%44.13M shares

Shares outstanding 140.26M · Float 120.85M · 86.2% free float

Top shareholders13F · 13D/G · Form 4

HolderShares% outstandingFormFiled
Nantahala Capital Management, LLC68.39M48.76%13FAug 19, 2026
Stavros G. Vizirgianakis · director7.84M5.59%Form 4Aug 18, 2026
Lytton Laurence W7.70M5.50%13GFeb 17, 2026
Awm Investment Company, Inc.5.98M4.26%13FAug 14, 2026
Sean E. Browne · director, officer: President and CEO3.11M2.22%Form 4Aug 18, 2026

Insider tradesForm 4

No open-market trades in the last 12 months.

View details

Peers

  • Medtronic

    Broad spine systems and bone-graft competition.

  • Globus Medical

    Comprehensive spine, biomaterials, and hospital-channel overlap.

  • Johnson & Johnson

    DePuy Synthes implants and biomaterials contest fusion cases.

  • Orthofix Medical

    Spinal fixation, interbodies, and biologics overlap.

  • Alphatec

    Pure-play spine systems and allograft biologics overlap.

  • Bioventus

    Bone-graft substitutes and spine procedural tools overlap.

  • SI-BONE

    Focused sacroiliac-joint fusion competition.

CompareAfter-hours close

CompanyPriceChange
Xtant Medical$0.3700−8.78%$53.9M0.5−35.0%
Medtronic$91.58+0.42%$116.78B24.515.33.2+9.9%
Globus Medical$85.02+2.47%$11.19B21.316.23.6+5.9%
Johnson & Johnson$268.40+0.13%$645.95B31.122.46.6+6.6%
Orthofix Medical$9.700.00%$392.1M0.5+3.9%
Alphatec$9.44+0.16%$1.45B18.71.8+15.1%
Bioventus$13.84−0.07%$937.6M18.017.11.6+3.8%
SI-BONE$19.21+0.05%$852.0M4.0+15.2%
Median22.917.13.2+6.6%