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Xtant Medical Holdings, Inc. (XTNT)

Xtant Medical Holdings, Inc. brought in $109.5M of revenue over the twelve months to June 30, 2026, down 14.3% from a year earlier. It posted a net loss of $11.1M. Operating cash flow minus capital spending left $10.2M of free cash flow in fiscal 2025. At June 30, 2026 it held $9.9M in cash against $7.3M of debt. Its latest periodic report to the SEC is the quarterly report (10-Q) filed on August 11, 2026.

Free, no password. An email when XTNT files with the SEC.

Price
$0.28
-1.47% on the day · November 10, 2026
52-week range $0.27 to $0.84
Market cap
$38.6M
Revenue (last 12 months)
$109.5M
-14.3% year on year
Net margin
-10.2%
P/E
9.2
on FY2025 diluted EPS

Key facts about Xtant Medical Holdings, Inc.

Net worth
Xtant Medical Holdings, Inc. has a market value (market cap) of $38.6M at the latest share price, and shareholders' equity of $40M on its balance sheet at June 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.
Revenue and profit
In fiscal 2025 revenue was $133.9M (+14.2% year on year), with net income of $5M. Over the 12 months to June 30, 2026: revenue $109.5M, net loss $11.1M.
Cash flow
In fiscal 2025 operations brought in $12.5M of cash; after $2.4M of capital spending, free cash flow was $10.2M.
Latest report
The latest periodic report (quarterly report, 10-Q) was filed with the SEC on August 11, 2026 and covers the period to June 30, 2026. Open on SEC EDGAR
Next earnings report
Xtant Medical Holdings, Inc.'s next report was expected around November 9, 2026 and is not on file with the SEC yet.

What Xtant Medical Holdings, Inc. does

Xtant Medical Holdings, Inc. is registered with the SEC under industry code SIC 3841 (Surgical & Medical Instruments & Apparatus). Its shares trade on NYSE under the ticker XTNT.

Revenue and profit by year

Revenue
FY18: $72.2M $72.2M FY18FY19: $64.7M $64.7M FY19FY20: $53.3M $53.3M FY20FY21: $55.3M $55.3M FY21FY22: $58M $58M FY22FY23: $91.3M $91.3M FY23FY24: $117.3M $117.3M FY24FY25: $133.9M $133.9M FY25
Net income
FY18: -$70.1M -$70.1M FY18FY19: -$8.2M -$8.2M FY19FY20: -$7M -$7M FY20FY21: -$4.8M -$4.8M FY21FY22: -$8.5M -$8.5M FY22FY23: $660K $660K FY23FY24: -$16.4M -$16.4M FY24FY25: $5M $5M FY25

Fiscal years as reported in annual reports. Amounts in USD.

Key figures

Fiscal yearRevenueOperating incomeNet incomeDiluted EPSFree cash flow
2025$133.9M$7.3M$5M$0.03$10.2M
2024$117.3M-$12.1M-$16.4M-$0.12-$16M
2023$91.3M-$10.2M$660K$0.01-$11M
2022$58M-$6.8M-$8.5M-$0.09-$7.1M
2021$55.3M-$3.9M-$4.8M-$0.06-$1.7M
2020$53.3M-$751K-$7M-$0.25-$2.3M

Earnings: every quarter and the next report date

Full financial statements: income, balance sheet and cash flow

A report was expected around November 9, 2026 and is not on file yet.

Estimated from its filing rhythm: 52 weeks after its report of November 10, 2025. Not a date the company has announced. See the report calendar · Earnings, quarter by quarter

Where XTNT ranks in Health care

Revenue$133.9M
#306 of 751 in Health care · Top 41%
Revenue growth+14.2%
#237 of 532 in Health care · Top 44%
Net margin3.7%
#174 of 544 in Health care · Top 32%
Free cash flow margin7.6%
#152 of 490 in Health care · Top 31%

Latest fiscal year of every company in the sector with the figure reported. Revenue is ranked among companies reporting in US dollars; growth and margins among companies with at least 10 million of revenue. Health care

Latest SEC filings

What Xtant Medical Holdings, Inc. has filed recently, newest first. Each links to the original document on SEC EDGAR.

  1. August 11, 2026
    Quarterly report 10-Q · period to June 30, 2026Revenue fell 35% to $23M versus the same quarter last year; diluted EPS -$0.07 versus $0.02.
  2. August 11, 2026
  3. August 7, 2026
  4. June 23, 2026
  5. June 23, 2026
  6. June 23, 2026
  7. May 29, 2026
  8. May 13, 2026
  9. May 13, 2026
  10. May 13, 2026

Recent insider filings (Forms 3, 4 and 144): 10, the latest on August 18, 2026. Insider transactions on SEC

What is XTNT worth? A DCF from its reported cash flow

Insider trades

What the people running Xtant Medical Holdings, Inc. did with its shares, from the Form 4 filings they must send the SEC within two business days.

No insider bought or sold shares on the open market in the last 90 days. The 11 reported changes were pay in shares, option exercises, shares withheld for tax or gifts.

Bought (open market)
$0
last 90 days
Sold
$0
last 90 days
DateInsiderWhatSharesPriceValueFiling
August 15, 2026 Bakewell John KDirector Received as pay 215,517 - - Form 4
August 15, 2026 Lipschultz TylerDirector Received as pay 215,517 - - Form 4
August 15, 2026 Vizirgianakis Stavros G.Director Received as pay 323,275 - - Form 4
August 15, 2026 Browne Sean EPresident and CEO, Director Received as pay 550,000 - - Form 4
August 15, 2026 Browne Sean EPresident and CEO, Director Shares withheld for tax 10,605 $0.31 $3.3K Form 4
August 15, 2026 Neils Scott CCFO and Assistant Secretary Received as pay 400,000 - - Form 4
August 15, 2026 Neils Scott CCFO and Assistant Secretary Shares withheld for tax 28,155 $0.31 $8.7K Form 4
August 15, 2026 Schallenberger Mark A.Chief Operating Officer Received as pay 450,000 - - Form 4

All insider filings on SEC.gov · Where insiders are buying across the market

Who owns XTNT

Three views from three kinds of SEC filings, each with its own date. They overlap and are not added up.

5% holders

Anyone who owns more than 5% of a class of shares must say so on Schedule 13D (if they may seek to influence the company) or 13G (a passive holder). The latest filing of each holder is shown: 13G filings of the last 2 years, 13D of the last 3.

HolderOf classSharesFiled
Nantahala Capital Management, LLC13D, may seek influence with 3 related filers 49.1% 68,394,000 August 5, 2025
Lytton Laurence W13G, passive with 1 related filers 5.5% 7,702,002 February 17, 2026

Latest filings below 5%: Orbimed Advisors LLC 0% (April 14, 2025).

Largest institutional holders

Positions that investment managers reported on Form 13F for the quarter ended June 30, 2026, largest first, with the change on the quarter ended March 31, 2026. Managers file 13F up to 45 days after a quarter ends. 32 managers reported a position.

HolderSharesValueChange on quarter
Nantahala Capital Management, LLC136,788,000$57.6M+68,394,000
AWM Investment Company, Inc.5,976,910$2.5M0
Vanguard Capital Management LLC2,014,603$848.1K0
Renaissance Technologies LLC935,119$393.7K-52,291
Geode Capital Management, LLC517,133$217.8K-12,081
Crescent Grove Advisors, LLC412,024$173.5K0
Nano Cap New Millennium Growth Fund L P400,000$168.4K+50,000
Vanguard Fiduciary Trust Co257,988$108.6K0
Citadel Advisors LLC191,369$80.6K+30,358
Bridgeway Capital Management, LLC164,100$69.1K0
Wiregrass Investment Management LLC150,000$63.2K+47,000
BlackRock, Inc.115,782$48.7K0
Mink Brook Asset Management LLC109,466$46.1K0
Northern Trust Corp101,127$42.6K+1,529
Millennium Management LLC84,490$35.6K-47,864
XTX Topco Ltd68,531$28.9K+30,598
UBS Group AG31,920$13.4Knew
State Street Corp31,266$13.2K0
Sei Investments Co24,760$10.4K0
Kestra Advisory Services, LLC20,000$8.4K0

Insiders

Reported holdings of insiders who filed a Form 4 in the last 12 months: the shares each one held after their latest reported transaction. This is not the total held by all insiders.

8 insiders reported holding 15,885,086 shares in total, about $4.4M at the last price.

HolderSharesAs of
Vizirgianakis Stavros G.Director 7,838,845 August 15, 2026
Browne Sean EPresident and CEO, Director 3,114,669 August 15, 2026
Neils Scott CCFO and Assistant Secretary 1,215,226 August 15, 2026
Bakewell John KDirector 1,129,633 August 15, 2026
Schallenberger Mark A.Chief Operating Officer 1,106,087 August 15, 2026
Beeson Jonn R.Director 733,136 August 15, 2026
Lipschultz TylerDirector 373,745 August 15, 2026
Jain AbhinavDirector 373,745 August 15, 2026

Schedule 13D/13G filings on SEC.gov

All filings on SEC EDGAR

Questions about XTNT

What does Xtant Medical Holdings, Inc. do?

Xtant Medical Holdings, Inc. is a company in the Health care sector, listed on NYSE as XTNT. Its shares trade on NYSE under the ticker XTNT.

What is Xtant Medical Holdings, Inc.'s net worth?

Xtant Medical Holdings, Inc. has a market value (market cap) of $38.6M at the latest share price, and shareholders' equity of $40M on its balance sheet at June 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.

Is Xtant Medical Holdings, Inc. profitable?

No. Over the twelve months to June 30, 2026 it reported a net loss of $11.1M on revenue of $109.5M.

How much revenue does Xtant Medical Holdings, Inc. make?

Over the twelve months to June 30, 2026 Xtant Medical Holdings, Inc. reported revenue of $109.5M. That is 14.3% less than a year earlier.

When did Xtant Medical Holdings, Inc. last report?

Its most recent periodic report is the quarterly report (10-Q) filed on August 11, 2026. It covers the period to June 30, 2026. Its newest filing of any kind is the insider trade from August 18, 2026.

When is Xtant Medical Holdings, Inc.'s next earnings report?

Xtant Medical Holdings, Inc.'s next report was expected around November 9, 2026 and is not on file with the SEC yet.

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Where the numbers come from

Financial figures are the values Xtant Medical Holdings, Inc. tagged in its own SEC filings (XBRL), taken from the latest filing for each period, so restatements replace older figures. Revenue, profit and cash flow are for full fiscal years unless marked as the last twelve months, which is the sum of the four most recent quarters. Where a company reports only the full year, the fourth quarter is the year minus the first three.

Prices are delayed end-of-day market data in the listing currency, and market cap moves with the price. P/E is shown only when earnings per share are positive. Nothing here is investment advice.