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Companies / Health Care / Xtant Medical Holdings, Inc.
XTNT

Xtant Medical Holdings, Inc.

Health CareSurgical & Medical Instruments
Ticker XTNTBELGRADE, MTFiscal year ends DecemberBook value per share $0.29Diluted shares 140.2M

Xtant Medical Holdings, Inc. (NYSE American: XTNT) is a global medical technology company focused on designing, developing, and commercializing orthobiologics and spinal implant fixation systems. The company's website is www.xtantmedical.com. From the company’s description.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
$133.93M
+14.2% year over year
Last 12 mo $109.53M
5.44%
+15.7 percentage points
Last 12 mo -9.58%
$4.97M
+130.2% year over year
Last 12 mo $-11.14M
9.76%
+48 percentage points
Last 12 mo -27.83%
Cash & financing
$12.55M
+205.5% year over year
Last 12 mo $0.57M
$10.16M
+163.5% year over year
Last 12 mo $-0.70M
0.50
Was 0.80× a year earlier
Last 12 mo 0.58
150.0M
+12.3% year over year
Last 12 mo 140.2M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What Xtant Medical Holdings, Inc. does

In the company’s own words

Xtant Medical Holdings, Inc. (NYSE American: XTNT) is a global medical technology company focused on designing, developing, and commercializing orthobiologics and spinal implant fixation systems. The company's website is www.xtantmedical.com.

The company operates through two primary business segments: orthobiologics products and spinal implant fixation systems. Orthobiologics represent the core business, encompassing demineralized bone matrices, allografts, synthetic bone graft substitutes, and tissue-based products used across trauma, spine, foot and ankle, sports medicine, and wound care applications. Key orthobiologics brands include OsteoSponge, OsteoSelect, OsteoVive Plus, OsteoFactor Pro, the nanOss portfolio, FibreX, Trivium, SimpliGraft, SimpliMax, and CollagenX. The spinal fixation segment includes comprehensive systems for cervical, thoracolumbar, sacroiliac, and interbody applications, with product lines such as Spider Cervical Plating System, Streamline MIS and TL systems, Cortera Posterior Fixation System, Silex Sacroiliac Joint Fusion System, Calix interbody spacers, and Fortilink implants.

Xtant distributes products in the United States through an extensive network of over 670 independent sales agents and stocking agents, supported by direct employees. The company maintains national accounts programs providing access to integrated delivery networks and group purchasing organizations, with contracts from major GPOs including Vizient, Premier, and HealthTrust Purchasing Group. International distribution extends through partners in Europe, Canada, Mexico, South America, and select Pacific region countries.

The company holds ISO 13485 and MDSAP certification and maintains FDA registration as a manufacturer of human cells, tissues, and cellular and tissue-based products. All currently marketed products have received 510(k) clearances or are exempt from FDA premarket review. The biologics patent portfolio includes 46 issued patents expiring between 2028 and 2041, while the fixation portfolio comprises 201 issued patents expiring between 2026 and 2043.

In December 2025, Xtant completed the divestiture of its Coflex and CoFix product assets and its international hardware business through Paradigm Spine GmbH, refocusing operations on core orthobiologics and domestic spinal fixation markets. The company competes with major players including Medtronic, Johnson and Johnson, Bioventus, and Globus Medical, alongside numerous private competitors and tissue banks.

Company details
Sector
Health Care
Industry (SIC)
Surgical & Medical Instruments
Headquarters
BELGRADE, MT
Fiscal year end
December
CIK
1453593
SIC
3841

Financial performance, year by year

Fiscal 2013–2025 · USD
$-90.50M$-29.29M$31.91M$93.12M$154.33M2013201420152016201720182019202020212022202320242025Last 12 moLast 12 monthsLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns Xtant Medical Holdings, Inc. — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

6
funds hold it
0 of 35
superinvestors hold it
$1.11M
held by funds, at market
1.9%
of shares held by funds

Largest fund holders · Xtant Medical Holdings, Inc.’s weight in each

VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.00%of fund net assets
VANGUARD EXTENDED MARKET INDEX FUND
VXF · VANGUARD INDEX FUNDS
0.00%of fund net assets
Fidelity Extended Market Index Fund
FSMAX · Fidelity Concord Street Trust
0.00%of fund net assets
Ultra-Small Company Market Fund
BRSIX · Bridgeway Funds, Inc.
0.04%of fund net assets
Fidelity Total Market Index Fund
FSKAX · Fidelity Concord Street Trust
0.00%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

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