No insider purchase over the last 90 days. The latest, by Brandt Kevin D, was filed 17 Nov 2023.
Xtant Medical Holdings, Inc. belongs to the Healthcare & Pharma sector. Filings by its managers are published through SEC (Form 4). Between 22 October 2025 and 22 October 2026, 8 insiders published 22 filings.
No open-market purchase or sale appears among the filings, only grants, plan transactions and other operations. Because grants and exercises are largely decided by remuneration plans, they are not counted as purchases here.
There has been no open-market purchase by an insider of Xtant Medical Holdings, Inc. for at least a year. Between a trade and the moment it shows up on SEC (Form 4), the median delay is 3 days. For comparison, the SEC allows two business days to file a Form 4.
Compared with its exchange (2,023 companies, median 41 filings), a count of 22 filings is below the norm. Since 2016, the database holds 9 purchases and 9 sales by insiders of the company. The 10-K for the year ended 31 December 2025 shows 133.9 m USD of revenue and 5.0 m USD of net income.
In the same sector, recent insider purchases at Xenon Pharmaceuticals Inc. and Vivos Inc also feature in our signals. This summary is built from SEC (Form 4) disclosures alone and does not predict where the share price will go.
Entry is the close on the day after publication, the first price a reader could act on. Prices in the listing currency. Past moves are not a forecast.
This score ranks the purchase within its own market. A position size is suggested only on the venues of the backtested strategy universe; elsewhere, signals stay on watch. Not investment advice.
Transparent value + quality ranking, distinct from the insider signal.
FY ended December 2025 · cache
25 of 165 declarations
Xtant Medical Holdings, Inc. (ticker: XTNT) is a U.S.-based medical technology company listed on NYSE American in the United States. Headquartered in Belgrade, Montana, the company develops, manufactures, and commercializes a portfolio centered on regenerative biologics and spinal implant systems, with an expanding presence in selected wound-care applications. Its products are used by orthopedic surgeons, spine surgeons, and other specialists treating spinal, musculoskeletal, and tissue-healing conditions. The business is positioned as an integrated supplier that can provide both biologic grafting solutions and fixation systems, which is attractive to hospitals, ambulatory surgery centers, and distributor channels seeking a broad procedural offering from a single vendor.
Xtant’s roots trace back to its tissue-bank heritage and its close connection to Montana State University’s Center for Biofilm Engineering. That background remains important because it underpins the company’s emphasis on donor tissue processing, proprietary manufacturing, quality control, and traceability. Over time, Xtant has evolved into a more vertically integrated orthobiologics platform, with processing capabilities and commercialization infrastructure designed to support a broad range of regenerative products. Its biologics portfolio includes solutions for spinal fusion and bone regeneration, while its spinal implant line spans cervical, thoracolumbar, and interbody systems designed to work alongside its graft products. The company also markets wound-care-related biologic offerings, including more recently introduced amniotic products.
From a competitive perspective, Xtant operates in a fragmented but demanding market where it competes against larger medical-device and orthobiologics peers. Its key differentiators are portfolio breadth in orthobiologics, the ability to pair implants with biologics, and its integrated supply chain from tissue recovery through distribution. Management has increasingly framed the company around biologics as the core of the franchise, which suggests a strategic shift toward higher-focus, potentially higher-margin segments. A major recent development was the 2025 announcement of definitive agreements to sell selected spinal implant assets, including Coflex and CoFix, as well as its non-U.S. businesses, to Companion Spine. That transaction reflects a strategic effort to sharpen the company’s focus on its core biologics platform and simplify the business mix. More recently, the company has highlighted new product launches and continued community-oriented initiatives in Montana. For investors, XTNT remains a specialty healthcare small cap with meaningful execution risk, but also with a clearer strategic identity around regenerative medicine and spine care.
Purchases our model currently ranks for the recommendations list.
All recommendations| Fiscal year end | Revenue | Net income | Diluted EPS | Filing |
|---|---|---|---|---|
| Dec 2025 | 133.9 m USD | 5.0 m USD | 0.03 USD | 10-K |
| Dec 2024 | 117.3 m USD | -16.4 m USD | -0.12 USD | 10-K |
| Dec 2023 | 91.3 m USD | 660,000 USD | 0.01 USD | 10-K |
| Dec 2022 | 58.0 m USD | -8.5 m USD | -0.09 USD | 10-K |
| Dec 2021 | 55.3 m USD | -4.8 m USD | -0.06 USD | 10-K |
Amounts in USD, as filed (forms 10-K, 20-F or 40-F). Source: SEC EDGAR.