Stock fact sheet · data as of
Xtant Medical Holdings, Inc. (XTNT): fair value, margin of safety and Wheel Score
Healthcare · Medical - Devices · United States · Speculative / Distressed
Is XTNT undervalued?
At 0.3185 (close of 16 Oct 2026), XTNT trades 31% over the GLS average fair value of 0.2440, with 0 of 1 models above the price. The stock earns none of the Wheel Score's Value points at this price. That is a statement about price against trailing fundamentals, not about the company's prospects - the Wall Street View and the Growth tab on the Quote page carry the forward numbers.
Only 1 of the nine models produced a value (10 Cap); the others need a dividend, positive free cash flow or positive book value the company does not have yet, so the average rests on a narrow base.
The nightly engine files XTNT under Speculative / Distressed - negative earnings or a Piotroski score of 3 or less - which caps its Wheel Score at 45 and keeps it out of the Sunday Scan.
Nine valuation models for XTNT
Each model turns the latest filed numbers into a value per share; the GLS fair value is the simple average of the ones that produce a positive number. The last two rows are shown for reference and never enter the average. The Quote page lets you switch any model off and add your own margin of safety.
| Model | Value | vs price | What it measures |
|---|---|---|---|
| DCF | - | - | Present value of the projected free cash flows, discounted at the cost of capital; no value tonight |
| Graham Number | - | - | The most a defensive investor pays for the earnings and book value per share; no value tonight |
| Graham Growth | - | - | Graham's growth formula: EPS × (8.5 + 2 × growth), adjusted for bond yields; no value tonight |
| Lynch | - | - | EPS × the earnings growth rate (PEG of 1), growth capped at 25%; no value tonight |
| GLS Growth | - | - | EPS compounded ten years at the blended growth rate, discounted back at 15% a year; no value tonight |
| 10 Cap | 0.2440 | -23% | Owner's earnings (operating cash flow less maintenance capex) capitalised at 10% |
| Payback Time | - | - | Eight years of compounded free cash flow: the price at which the business pays for itself; no value tonight |
| DDM | - | - | Dividend discount model: next year's dividend ÷ (10% − 3% growth); needs a dividend; no value tonight |
| EPV | - | - | Earnings power value: current EPS capitalised at 9% with no growth; no value tonight |
| Zombie (liquidation) | 0.2499 | -22% | Current assets less all liabilities, per share: the balance-sheet floor. Not in the average |
| Wall St target | 1.00 | +214% | Analysts' average 12-month price target. Not in the average |
Quality and financial health
Financial health is weak: XTNT passes 3 of the nine Piotroski tests. Our screens drop the stock at the health rule; a low score is often the reason a stock looks cheap on the valuation models. The GLS Moat score is low at 2.5 out of 10, which says the ten-year record of revenue, earnings, margins and returns on capital has been inconsistent - growth and shocks rather than steady compounding.
Returns on capital are moderate - ROIC 6.2%, ROE 9.8%, ROA 5.3% - with debt at 0.56 times equity and negative free cash flow.
Xtant Medical Holdings, Inc. pays no dividend, so the DDM model does not apply and a covered-call holder earns only the premium and any price gain. Revenue comes mainly from Orthobiologics 75%, Spinal Implant 25% (quarter Q2 FY2026).
Institutional ownership scores 7/10, insider activity 5/10 and Congressional trading 5/10 on the GLS smart-money scales.
| Piotroski F-score | 3 / 9 | ROIC | 6.2% |
|---|---|---|---|
| GLS Moat | 2.5 / 10 | ROE | 9.8% |
| Debt / equity | 0.56 | ROA | 5.3% |
| Free-cash-flow yield | -1.6% | Payout ratio | 0% |
| Institutions | 7 / 10 | Insiders · Congress | 5 · 5 / 10 |
Wheel Score 16: No options
XTNT has no listed options in the nightly snapshot, so there is nothing to sell and the stock cannot be wheeled however good the business; the Wheel Score is capped at 39 and shown as "No options" (16 here). The valuation and quality numbers still apply to owning the shares outright.
Volume runs at 86k shares a day on a market cap of $45M, with a beta of -0.15 - a low beta, so day-to-day moves are smaller than the market's; the Stability part of the Wheel Score gives that 6 of 20.
| Part | Points | From | |
|---|---|---|---|
| Value | 0 / 25 | -31% margin of safety | |
| Health | 7 / 20 | Piotroski 3/9 | |
| Moat | 4 / 15 | moat 2.5/10 | |
| Premium | 0 / 20 | no option data | |
| Stability | 6 / 20 | 86k shares/day, $45M cap, beta -0.15 |
The Wheel Score ranks ~7,400 US stocks for selling cash-secured puts and covered calls; it is updated nightly and is not a recommendation. The walkthrough lesson shows how the score fits into a trade, start to finish.
Upcoming events
The next earnings report is due on 10 Nov 2026 (before the open), 25 days away; a 30-45-day put sold today would expire after it, which is worth weighing against the premium.
Earnings, dividend, IPO, split and economic calendars for the whole market, filterable to your watchlists.
Similar stocks in Medical - Devices
The 12 companies below are the closest to Xtant Medical Holdings, Inc. by market cap within the Medical - Devices industry, each with its own fact sheet; the Compare page puts up to eight of them side by side.
| Stock | Close | Fair value | MoS | Wheel | Mkt cap |
|---|---|---|---|---|---|
| SNWV SANUWAVE Health Inc. | 5.14 | 34.46 | +85% | 39No options | $44M |
| SRTS Sensus Healthcare, Inc. | 2.86 | 3.03 | +6% | 36Weak | $47M |
| POSC Positron Corporation | 1.50 | - | - | 22No options | $49M |
| TELA TELA Bio, Inc. | 1.10 | 1.19 | +8% | 36Weak | $49M |
| COCH Envoy Medical, Inc. | 0.6447 | 0.0239 | -2603% | 11No options | $50M |
| MYO Myomo, Inc. | 1.30 | - | - | 31Weak | $51M |
| NNOX Nano-X Imaging Ltd. | 0.4911 | - | - | 31Weak | $39M |
| RPID Rapid Micro Biosystems, Inc. | 0.8173 | - | - | 24No options | $37M |
| CVRX CVRx, Inc. | 1.39 | - | - | 36Weak | $37M |
| QTI QT Imaging Holdings, Inc. | 2.50 | - | - | 32No options | $37M |
| MBOT Microbot Medical Inc. | 0.9500 | 0.0728 | -1205% | 25Weak | $64M |
| NSYS Nortech Systems Incorporated | 10.32 | 15.29 | +33% | 39No options | $29M |
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Start free See the Sunday ScanQuestions about XTNT
Is XTNT undervalued right now?
No: at 0.3185 the stock trades 31% above the GLS average fair value of 0.2440 (data as of 16 Oct 2026), well beyond what trailing earnings, cash flow and book value support.
What is the Wheel Score of XTNT and what does it mean?
XTNT has no listed options in our nightly snapshot, so it cannot be wheeled; its Wheel Score is capped at 39 and shown as "No options".
What is the GLS fair value for XTNT?
0.2440 per share as of 16 Oct 2026 - the simple average of the 1 valuation models (out of nine: DCF, Graham Number, Graham Growth, Lynch, GLS Growth, 10 Cap, Payback Time, DDM and EPV) that produced a positive value. The models run every night on the latest filings; the Quote page lets you switch any of them off and add a margin of safety of your own.
When does Xtant Medical Holdings, Inc. report earnings next?
The next earnings report is due on 10 Nov 2026 (before the open), 25 days from the data date of 16 Oct 2026. The Calendars page lists every upcoming report with its time of day.
Does XTNT have listed options, and how liquid are they?
No. The nightly options snapshot found no listed contracts on XTNT, so the wheel strategy cannot be run on it and the Wheel Score is capped at 39.