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Xtant Medical Holdings (XTNT) Fair Value & Analysis

Healthcare · US · Market cap $61.5M

XM Xtant Medical Holdings logo Xtant Medical Holdings XTNT · US
Price$0.4442
Fair Value$0.6630
Upside+49.3%
Quality49/100
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Healthy Growth
Thin margins · 1.5% net margin
Low debt · generates free cash flow
Mixed vs. peers (6/14)
Narrow moat 28/100
Evidence: High Range $0.4930 – $0.8330 Share as image

Fair value as of: Jul 25, 2026

From 26 valuation models · updated 16 days ago

Share price +13.9% over the past month.

Below-average quality, screening 49% undervalued on our models.

What matters now

  • The price is below even our cautious bear case ($0.4930). The market is more pessimistic than our downside scenario.
  • Solid quality (49/100) at a price below fair value, the discount is the argument here, not the business quality.
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Price vs Fair Value (5 years)

$2.00 $0.3500 Fair Value $0.6630 Apr 2021 Aug 2026

White line = price, green steps = our fair value per fiscal year, dashed = 300-day average. As of Jul 25, 2026.

How to read this chart

60‑month range $0.3500 – $2.00 · fair‑value band $0.4930 – $0.8330 · the $0.4442 price screens below the $0.6630 fair value. Green steps = our fair value per fiscal year (point-in-time, no hindsight). Dashed = 300-day average. As of Jul 25, 2026.

Full chart & analysis →

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Analysis

Xtant Medical Holdings (XTNT) currently trades at $0.4442, while our model-based Fair Value estimate is $0.6630, implying the stock looks roughly 49.3% undervalued today. The Quality Score stands at 49/100 (below-average quality), in the Healthcare sector. Bull case: trading below our estimate, it may offer upside if the fundamentals hold. Bear case: a low price can be a value trap when quality is weak or the data is thin (evidence: high), always confirm before acting.

Over the trailing twelve months, Xtant Medical Holdings generated revenue of $122M at a net margin of 1.5%. Revenue declined 36.5% year over year. It earns a return on equity of 4.0%. Net debt stands at $11.7M. Fundamentals as of Jul 25, 2026

Our scenario range runs from $0.4930 (bear case) to $0.8330 (bull case); at $0.4442, the current price sits below that range. Bear and bull are the same models run on conservative and optimistic assumptions (margins, growth, valuation multiples), so a plausible valuation range, not a price target. The share trades about 53% below its 52-week high and 10% above its 52-week low, currently below its 200-day average. For context, the median of 10 Healthcare peers we cover trades at -22% fair-value upside, at 49%, XTNT screens cheaper than that median.

Fair Value models

Each model estimates fair value its own way; the Fair Value above is the evidence-weighted blend. Evidence (0–100) measures how completely this model’s inputs are available: well-fed models carry more weight in the blend. The spread across models is intentional, each one stresses a different value driver; dividend models, for instance, come out structurally low when payout is small.

Model Bear Bear = the cautious scenario: the same model computed with conservative anchors (lower growth, margins and valuation multiples). Together with Bull it frames a plausible valuation range, not a price target.BaseBull Bull = the optimistic scenario: the same model computed with favourable anchors (higher growth, margins and valuation multiples). Together with Bear it frames a plausible valuation range, not a price target. Evidence
Highest evidence
Growth DCF $0.7600 $1.28 $1.96 80
Residual Income $0.2800 $0.3000 $0.3200 76
Rev-Margin DCF $0.6200 $1.03 $1.62 74
All 26 models by family
DCF Models
FCF DCF $0.7900 $1.25 $2.25 38
Owner Earnings $0.6200 $1.08 $1.81 31
5Y Revenue Exit $0.6200 $1.05 $1.64 39
5Y EBITDA Exit $0.8600 $1.60 $2.56 41
5Y P/E Exit $0.6600 $1.15 $1.72 38
10Y Revenue Exit $0.6600 $1.07 $1.73 36
10Y EBITDA Exit $0.8200 $1.43 $2.45 37
10Y P/E Exit $0.7000 $1.14 $1.80 35
Earnings-Based
Graham-Dodd $0.2400 $1.44 $2.01 54
Lynch FV $0.4100 $0.5900 $0.7600 50
PEG = 1.0 $0.4100 $0.5900 $0.7600 46
EPV $0.3100 $0.3400 $0.3700 59
Dividend Discount
Gordon GGM $0.0100 $0.0200 $0.0200 70
DDM Multi-Stage $0.0100 $0.0200 $0.0200 61
Multiples
P/E Multiple $0.5900 $0.7800 $0.9800 63
P/S Multiple $0.4500 $0.6000 $0.7500 58
P/B Multiple $0.4500 $0.6000 $0.7500 55
EV/EBIT $0.7100 $0.9300 $1.15 53
EV/EBITDA $0.9800 $1.29 $1.60 54
EV/Revenue $0.5200 $0.7200 $0.9200 43
Asset-Based
NCAV (Graham) $0.1800 $0.2400 $0.3600 50
Growth DCF
Growth DCF $0.7600 $1.28 $1.96 80
Rev-Margin DCF $0.6200 $1.03 $1.62 74
Economic Profit
Residual Income $0.2800 $0.3000 $0.3200 76
ROIC Compounder $0.3100 $0.3400 $0.3800 72
Growth Earnings
Growth-Adj P/E $0.6100 $0.8700 $1.14 68

Widest divergence: DCF Models ($1.14) versus Dividend Discount ($0.0200). Highest evidence: Growth DCF (80).

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Key figures & financial health

Revenue (TTM) $122M
Revenue growth (YoY) -36.5%
Net margin 1.5%
Return on equity 4.0%
Free cash flow $10.2M FY2025
P/E ratio 43.9
More key figures
Operating margin -14.0%
EPS (TTM) $0.0100
Net debt $11.7M FY2025

Figures from reported company fundamentals · as of Jul 25, 2026. TTM = trailing twelve months.

Quality Score breakdown

Overall quality 49/100

Of which business quality 54 · Market factors (momentum, volatility) 23

Profitability 62
Margins and returns on capital today
Quality Growth 92
Are margins and returns improving?
Cashflow 65
Earnings quality: real cash, not paper profit
Fin. Strength 46
Balance sheet, leverage, solvency risk
Investment 50
Disciplined investing over empire-building
Low Volatility 54
Calm price path (market factor)
Momentum 11
Price trend over the last 3–12 months (market factor)
52W Momentum 8
Distance to the 52-week high (market factor)
Net Issuance 0
Buybacks instead of dilution

Non-valuation factor families (profitability, growth, cashflow, financial strength, momentum …), each academically grounded. Valuation itself sits in the Fair Value and is deliberately excluded here to avoid double-counting.

About the company

Xtant Medical Holdings, Inc. provides regenerative medicine products and medical devices for orthopedic and neurological surgeons in the United States and internationally.

Full company description

Xtant Medical Holdings, Inc. provides regenerative medicine products and medical devices for orthopedic and neurological surgeons in the United States and internationally. It offers OsteoSponge, a natural scaffold for cellular in-growth; OsteoSelect DBM Putty, a moldable demineralized bone matrix; OsteoSelect PLUS DBM Putty to deliver handling properties and ensure patient safety through validated and terminal sterilization; 3Demin, a family of allografts that maximizes osteoconductivity and the osteoinductive potential of human bone; OsteoFactor Pro, a processed allograft that contains retained growth factors found within the endosteum layer of allograft bone; OsteoVive Plus, an aseptically processed and viable bone allograft; and nanOss products that provide osteoconductive nano-structured hydroxyapatite and an engineered extracellular matrix bioscaffold collagen carrier. It also provides sports allografts for anterior and posterior cruciate ligament repairs, anterior cruciate ligament reconstruction, and meniscal repair; milled spinal allografts for cortical bone milled to desired shapes and dimensions; and traditional allografts for orthopedics, neurology, podiatry, oral/maxillofacial, genitourinary, and plastic/reconstructive applications. In addition, it offers cervical products comprising Spider cervical plating, Streamline OCT system, and CervAlign systems; thoracolumbar products, such as of Axle-X interspinous fusion, Streamline MIS spinal fixation, Streamline TL spinal fixation, and HPS 2.0 hybrid performance systems; Silex sacroiliac joint fusion systems; interbody products comprising Calix for cervical and thoracolumbar applications, Irix-C Cervical and Irix-A lumbar integrated dusion systems, and Fortilink implants; Contact ALP (Anterior Lumbar Plate) System; and interlaminar stabilization products, such as Coflex device for lumbar spinal stenosis; and CoFix implants for back and disc pain. The company is headquartered in Belgrade, Montana.

Company description, as reported by the company or data provider.

Revenue & earnings trend

FY2021 – FY2025 · reported fiscal years

Xtant Medical Holdings reported revenue of $134M in FY2025 versus $55.3M in FY2021, a compound +24.8%/yr. Reported net income was $5.0M in FY2025.

Growth Quality 85/100
Revenue growth appears healthy and is supported by profitability and cash-flow quality.
Latest Revenue (FY 2025)
$134M
Latest YoY
+14.2%
Avg. growth/yr (3Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+32.2%
Avg. growth/yr (5Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+20.2%
Avg. growth/yr (17Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+39.6%
Revenue +24.8%/yr
FY21 $55.3M
FY22 $58.0M
FY23 $91.3M
FY24 $117M
FY25 $134M
Net income
FY21 −$4.8M
FY22 −$8.5M
FY23 $660K
FY24 −$16.4M
FY25 $5.0M

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Cite: Fair Value Calculator (2026). "Xtant Medical Holdings Fair Value". https://www.fairvalue-calculator.com/stock/XTNT

Peer Group

Medical Devices · 352 stocks

How this stock ranks against its industry: the green marker is this stock, the band is the typical 25–75% peer range, and the tick is the median.

Quality Score 49 · Below median
Fair Value upside +49% · Top 25%
Return on equity (TTM) 4% · Above median
Return on assets 2% · Above median
Net margin (TTM) 2% · Below median
Operating margin (TTM) -14% · Bottom 25%
Revenue growth -37% · Bottom 25%
Debt / equity 0.22× · Higher than median

Valuation Multiples vs Medical Devices median · lower = cheaper

P/E (TTM) 43.9× · Pricier than 75% of peers
P/B 1.21× · Cheaper than median
P/S (TTM) 0.51× · Cheaper than 75% of peers
P/FCF 6.1× · Pricier than median
EV/EBITDA 7.0× · Cheaper than 75% of peers
PEG 1.74× · Pricier than median

Snowflake

Five quick dimensions, each 0 to 100: VALUE (fair-value potential), FUTURE (revenue growth), PAST (return on equity), HEALTH (low debt), DIVIDEND (yield). Green = this stock, grey = typical sector peer.

VALUE 99 · sector 0
FUTURE 0 · sector 29
PAST 16 · sector 8
HEALTH 89 · sector 97
DIVIDEND 0 · sector 38

Insider activity: 40/100

Values & ESG

Does this company touch areas you may want to avoid? The classification is inferred from sector and industry.

None of the checked exposures detected

ESG scores are not available for this stock yet. Values and ESG data are contextual and can differ between providers.

Similar stocks

10 more Medical Devices stocks, each showing price versus our Fair Value estimate (as of Jul 25, 2026).

Stock Price Fair Value vs Fair Value
Abbott Laboratories, ABT $100.68 $74.79 -26%
Stryker Corporation SYK $316.44 $186.28 -41%
Medtronic plc MDT $83.56 $65.57 -22%
Boston Scientific Corporation BSX $43.04 $38.44 -11%
Edwards Lifesciences Corporation EW $85.73 $41.02 -52%
Siemens Healthineers AG SHL €34.59 €33.87 -2%
Shenzhen Mindray Bio-Medical Electronics Co 300760 ¥149.43 ¥147.63 -1%
Shanghai United Imaging Healthcare Co 688271 ¥109.00 ¥43.60 -60%
Demant A/S DEMANT kr 276.60 kr 161.17 -42%
Getinge AB GETIB kr 206.80 kr 192.14 -7%

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Frequently asked questions

Is Xtant Medical Holdings (XTNT) overvalued or undervalued?
As of Jul 25, 2026, our model estimates a fair value of $0.6630 versus a price of $0.4442, about +49% (undervalued).
What is the fair value of XTNT?
Our model-based fair value for Xtant Medical Holdings is $0.6630 (as of Jul 25, 2026), built from audited fundamentals. The current price is $0.4442.
What is the quality score of XTNT?
Xtant Medical Holdings has a Quality Score of 49/100. It measures business quality (profitability, growth, cash flow, balance-sheet strength, investment discipline, share issuance). Market factors such as price momentum and volatility do not enter the number; they are shown separately in the detail view.
What is the revenue of Xtant Medical Holdings (XTNT)?
Xtant Medical Holdings reported trailing-twelve-month revenue of about $122M (latest available figure, as of Jul 25, 2026).
What is the net profit margin of XTNT?
The net profit margin of Xtant Medical Holdings is about 1.5%, meaning it keeps roughly 1.5% of revenue as net income. Based on the latest reported figures.

How we calculate Fair Value

Each company is valued through a stack of independent intrinsic-value models (DCF variants, residual-income, multiples and more), blended into one family-balanced consensus and weighted by how much trustworthy data backs it. A separate quality layer scores the fundamentals. Every input is real reported data, nothing guessed.

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