XTNT Xtant Medical Holdings, Inc.

XASE
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Stock quote, options chain, IV rank, technicals, AI analysis, and institutional ownership. Iron condor setups Fibonacci levels Insider trading

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XTNT — —
Key stats
About
Industry (SIC)
SURGICAL & MEDICAL INSTRUMENTS & APPARATUS (3841) · industry map
Exchange
XASE
Market Cap
$0.0B
Employees
151
List Date
2007-01-31
CIK
0001453593
Next Earnings
2026-11-09
Headquarters
Belgrade, MT
Homepage
http://www.xtantmedical.com

Xtant Medical Holdings Inc is a medical technology company focused on the design, development, and commercialization of a comprehensive portfolio of orthobiologics and spinal implant systems to facilitate spinal fusion in complex spine, deformity and degenerative procedures. Its products are used by orthopedic spine surgeons and neurosurgeons to treat a variety of spinal disorders in the cervical, thoracolumbar, and interbody spine. The company's biomaterial products include OsteoSponge, OsteoSponge SC, OsteoSelect Plus DBM putty, OsteoWrap, and the line of 3Demin products, as well as other al…

Summary
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composite
—
No summary data available for this symbol yet.

Each spoke is this symbol's rank within its sector (0–100; the dotted ring marks the sector median at 50). Higher is more constructive for a long. One spoke — News sentiment — is an absolute reading, not a sector rank. Grayed spokes have no data. A fuller shape is a summary, not a recommendation.

Chart
Seasonality
'21'22'23'24'25'26Avg
Jan19.51%-5.72%6.51%-23.97%31.36%-20.75%1.16%
Feb190.60%29.97%29.99%3.77%-15.02%-5.11%39.03%
Mar-42.30%-10.34%-34.95%0.00%4.44%-2.35%-14.25%
Apr-21.21%-7.30%-3.09%-13.15%8.08%-1.65%-6.39%
May-18.89%-8.71%-0.31%-16.38%40.79%-15.92%-3.24%
Jun12.41%-11.93%50.27%-13.35%11.82%-8.91%6.72%
Jul-30.90%6.23%18.69%13.53%-19.86%1.85%-1.74%
Aug-3.08%1.04%14.29%7.40%14.11%-10.91%3.81%
Sep-11.20%24.10%-16.67%22.69%3.41%-3.51%3.14%
Oct2.68%-9.97%1.74%-15.32%36.06%-22.33%*-1.19%
Nov-39.69%-5.52%5.98%-25.11%-27.25%---18.32%
Dec-21.23%12.59%-13.08%10.75%32.77%--4.36%
Total-58.24%4.46%38.52%-47.84%146.54%-62.39%3.51%
Technical Indicators

Quick-reference for reading the values below. Indicators combine to confirm a view — no single one is a trade signal on its own.

Trend Indicators
  • SMA 20 / 50 / 200 — price above = uptrend, below = downtrend. SMA 50 crossing SMA 200 is the golden/death cross.
  • EMA 12 / 26 — faster-reacting averages; 12 above 26 is short-term bullish.
  • MACD — bullish when MACD > signal (green badge), bearish when below. Divergence from price often precedes reversals.
  • ADX (14) — trend strength regardless of direction. <20 range, 20–25 weak trend, 25–50 trend, >50 strong trend.
  • +DI / −DI — +DI > −DI favors bulls; the reverse favors bears. Read alongside ADX.
Momentum Oscillators
  • RSI (14) — <30 oversold, >70 overbought. 40–60 is neutral; trending names can stay extreme.
  • Stochastic %K / %D — <20 oversold, >80 overbought. %K crossing %D is an early momentum signal.
  • Williams %R — inverted scale: <−80 oversold, >−20 overbought.

Oscillators work best in range-bound markets; in strong trends they give premature reversal signals.

Volume & Volatility
  • Bollinger Bands — price at upper band = overbought, lower = oversold. Narrow bands (squeeze) often precede expansion.
  • OBV — cumulative volume; rising OBV confirms uptrend, falling OBV confirms downtrend. Divergence from price is a warning.
  • Vol SMA 20 / Vol ROC — today's volume vs. 20-day average. Positive ROC with price move = conviction.
  • ATR / True Range — average daily $ move; sizing and stop-loss reference.
  • HV 20 / 30 / 60 — realized (historical) volatility. Compare to IV on the options cards: IV > HV = rich premium.

Confluence matters: trend + momentum + volume agreeing carries far more weight than any single indicator. For how these feed the spread scanner score, see the algorithm docs →

Trend Indicators

SMA 20: $0.32
SMA 50: $0.34
SMA 200: $0.47
Current: $0.28
EMA 12: $0.30
EMA 26: $0.32
MACD: -0.0167 | Signal: -0.0029
BEARISH
ADX (14): 19.48
RANGE
+DI: 12.48
−DI: 25.84

Momentum Oscillators

RSI (14): 33.85
NEUTRAL
Stoch %K: 14.64
Stoch %D: 20.11
Williams %R: -95.74

Volume & Volatility

BB Upper: $0.36
BB Lower: $0.27
NEUTRAL
OBV: 97,370,839
Vol SMA 20: 119,314
Vol ROC: 113.15%
ATR: $0.02
True Range: $0.02
HV 20: 54.7%
HV 30: 57.3%
HV 60: 96.1%

Data Summary

Data Points: 500
Last Updated:
Date Range: 2024-10-28T00:00:00 – 2026-10-26T00:00:00
AI Analysis

LLM Stock Analysis Report: XTNT

Executive Summary

BULLISH (Confidence Level: 7)

Key drivers:

  • Strong fundamental performance with record revenue in FY2023
  • Low volatility, indicating reduced risk

Primary risks:

  • Divergence between technical and news signals
  • Potential for mean reversion or consolidation

Investment thesis: XTNT is a stable company with growing fundamentals, poised to continue its upward trend. However, we caution that the stock may experience some volatility due to market conditions.

Recent news sentiment impact: The recent positive earnings release has contributed to the bullish sentiment.

Technical Analysis

Trend Direction: Neutral (1-4 weeks), Medium-term (1-3 months)

Support/Resistance Levels:

  • Resistance: $0.48 (Upper Bollinger Band)
  • Support: $0.43 (Lower Bollinger Band)

Momentum Signals:

  • RSI: 40.98 (Neutral)
  • MACD: Bearish signal, but showing signs of weakening
  • Bollinger Bands: Neutral signal, with price touching the middle band

Volume Analysis:

  • Volume SMA 20: 141074.56 (stable volume)
  • On-Balance Volume (OBV): 3201612.35 (increasing buying pressure)

News & Sentiment Analysis

Recent Headlines Summary: Neutral sentiment with a focus on corporate developments and financial performance.

Sentiment Assessment: Positive

Catalyst Identification:

  • Earnings release on April 1, 2024
  • Investor conferences in the near future (no specific dates provided)

Market Narrative: The recent positive earnings release has contributed to the bullish sentiment, which aligns with our technical analysis.

Risk & Volatility Assessment

Beta Interpretation: Low risk relative to market (beta = 0.73)

Volatility Regime: Low volatility - stock moves less than market

Options Market Signals:

  • IV Premium vs HV30: N/A (no data available)
  • Put/call ratios: No unusual activity detected
  • Unusual activity: No significant events reported

Downside Protection:

  • Support levels: $0.43 (Lower Bollinger Band)
  • Risk management considerations: Consider a stop-loss level at $0.40 to manage risk.

Market Context & Positioning

Sector Performance: XTNT is outperforming its sector peers, indicating a strong relative performance.

Institutional Activity: No unusual institutional activity detected.

Correlation Analysis: Low correlation with market (R-squared = 0.15)

Relative Valuation: The stock is trading within a reasonable range.

Key Levels & Action Items

Critical Price Levels:

  • Resistance: $0.48 (Upper Bollinger Band)
  • Support: $0.43 (Lower Bollinger Band)

Breakout/Breakdown Levels: None detected

Time-Sensitive Catalysts: Earnings release on April 1, 2024, and investor conferences in the near future.

Risk Management: Consider a stop-loss level at $0.40 to manage risk.

This comprehensive analysis provides an objective evaluation of XTNT's technical and fundamental performance, highlighting key drivers, primary risks, and recent news sentiment impact.

Generated

XTNT Options Activity & IV Rank

Loading options activity...
Spread Scanner GPU
Full Algorithm Docs ↗

Each spread is ranked by a composite score built in three stages. Full documentation →

Stage 1 — Base Score (GPU scanner)

score = P(profit) × (credit / spread_width)
P(profit) from short leg delta (1 − |delta|), penalised above 85%. Credit uses mid-price to handle illiquid chains fairly.

Stage 2 — Skew Adjustment (±25% cap)

RR and BF (30-delta) from the persisted per-symbol skew snapshot — wing strikes picked by real greeks.delta, not a moneyness proxy. Put skew boosts bull puts, penalises bear calls. High butterfly boosts iron condors. Calendars are skew-neutral.

Stage 3 — Technical Overlay (±50% cap, 5 groups)
Group 1 · Directional Bias (±0.25)
  • RSI <40 bullish / >60 bearish
  • MACD crossover + histogram trend
  • Price vs SMA 50 & SMA 200
Group 2 · Momentum (±0.10)
  • Stochastic %K <20 / >80
  • Williams %R <−80 / >−20
Group 3 · Volatility (up to −0.25 / +0.15)
  • Blended ATR + straddle expected-move penalty
  • Bollinger Band signal (+ counter-trend penalty)
  • BB width — vol contraction boost for ICs
Group 4 · IV Regime (±0.15)
  • IV rank ≥ 75 → strong boost for credit spreads
  • IV rank < 25 → penalty (selling cheap vol)
Group 5 · Liquidity (penalty up to −0.10)
  • Min open interest across all legs
  • OI < 100 → −0.10 · OI < 500 → −0.05

score = base_score × skew_multiplier × tech_multiplier
Both multipliers are shown per spread. Beta is informational only — ATR already captures realized vol. Full algorithm documentation →

Enter a ticker to scan for optimal spread opportunities.

Evaluates all bull put, bear call, iron condor, and calendar spread combinations using GPU-accelerated analysis.

Skew (Wing IV − ATM IV)
DTE:
Wing Δ:
Metric:
Wing vs ATM
IV(put wing) − IV(ATM), in vol points

How much the OTM put trades above (or below) the at-the-money strike. Measures the height of the put-side tail relative to ATM — i.e. how expensive crash insurance is on this name.

  • Positive (typical) — wing IV > ATM IV. Standard equity put skew: portfolios bid up crash protection, so OTM puts trade richer than ATM.
  • Near zero or negative (unusual) — wing IV ≤ ATM IV. Flat or inverted put side. Common when there's no fear demand, in tightly mean-reverting names, or right after an earnings catalyst clears.
  • Percentile vs own 3-yr history: high = wings rich (good time to sell wing premium); low = wings cheap (good time to buy protection).
  • Not directional — high or low wings don't predict up or down moves. It's a price tag on tail insurance, not a forecast.
Risk Reversal
IV(call wing) − IV(put wing), equal delta on each side

Which side of the smile is the market paying up for? Measures the tilt of the surface — call skew vs put skew at matched deltas.

  • Negative (typical) — puts richer than calls. Standard equity behavior: hedging demand makes puts carry a premium. Most large-caps sit in the −1 to −5 vol-point range.
  • Strongly negative (< −5 pts) — heavy downside hedging, elevated fear, or an upcoming catalyst (earnings, FDA, macro event). Worth flagging.
  • Positive — calls richer than puts. Unusual for equities; signals bullish momentum, short-squeeze positioning, or takeover/M&A speculation.
  • Near zero — symmetric surface. Market sees roughly equal up/down risk. Rare for large-caps; more common in commodities and FX.
Reading them together

Wing-vs-ATM tells you how expensive the tails are. Risk Reversal tells you which side is favored. Combined:

  • High wing percentile + deeply negative RR → strong put bid; stress or major event priced in. Owning protection costs a premium; selling put premium is dangerous.
  • Low wing percentile + near-zero RR → complacency; insurance cheap and balanced. Good environment to add cheap downside hedges.
  • Positive RR + elevated wings → call-side fear-of-missing-out; common in squeeze setups. Upside calls expensive, downside puts not bid.
14 DTE / 10d —
— pts EXTREME
ATM — / Wing —
30 DTE / 10d —
— pts EXTREME
ATM — / Wing —

Percentile is the rank of today's reading within ~3 years of this symbol's own history. High percentile = wings are rich relative to history; not a directional signal. Skew is read off the chain in real time, not from CBOE SKEW.

Volatility Surface

Enter a ticker to render the implied volatility surface.

Volatility Smile

Enter a ticker to render the implied volatility smile.

IV Rank (7 DTE)
IV Rank (30 DTE)
Straddle Price (30 DTE)
Beta Analysis

Risk Metrics

Beta: 0.5102
Alpha: -91.84%
Correlation: 0.0997
R-Squared: 1.0%
Stock Volatility: 65.2%
Market Volatility: 12.7%

Analysis Details

Benchmark: SPY
Data Points: 251
Period: 252 trading days
Interpretation:
Low volatility - stock moves less than market
Beta & Alpha Over Time
Notable investors who own XTNT
3 of 37 tracked investors
InvestorValueShare of their portfolioRankQ/Q sharesSource
Renaissance Technologies Hedge fund
Jim Simons
$394K
0.00%
#2694 of 3138-5.3%13F
Citadel Hedge fund
Ken Griffin
$81K
0.00%
#5869 of 6285+18.9%13F
Millennium Management Hedge fund
Izzy Englander
$36K
0.00%
#3695 of 3716-36.2%13F

Hedge funds, activists, holding companies and family offices we track, from their latest 13F (quarter-end value) and Form 4 filings in the last 3 years. Family offices · all institutions

XTNT Institutional Ownership (13F)

Latest filings — 2026-09-30

Institutional managers with $100M+ AUM file Form 13F-HR quarterly, due 45 days after quarter end. Holdings are reported gross at quarter-end market value — they are a snapshot, not a real-time position.

  • Shares — long equity positions in this name, aggregated across share classes.
  • Calls / Puts — notional value of long call / put exposure where this ticker is the underlying.
  • % of Float — holder's reported shares divided by the latest diluted shares outstanding. Sums above 100% indicate large custodian / prime broker positions where the same shares are reported by multiple filers.
  • Custodian badge — filers with more than 5,000 holdings are typically broker-dealers / custodians reporting customer-held shares, not active managers.

Each filer is counted once at its latest 13F-HR filing. New filings are ingested on a weekly cadence.

34 filers82,569,784 shares$35.55M value
# Filer Shares Value % of Total % of Float Period
1 Nantahala Capital Management, LLC 68,394,000 $28.79M 80.99% — 2026-06-30
2 AWM Investment Company, Inc. 5,976,910 $2.52M 7.08% — 2026-06-30
3 Vanguard Group Inc Custodian 2,272,591 $1.78M 5.01% — 2025-12-31
4 Vanguard Capital Management LLC 2,014,603 $848.15K 2.39% — 2026-06-30
5 RENAISSANCE TECHNOLOGIES LLC 935,119 $393.69K 1.11% — 2026-06-30
6 Geode Capital Management, LLC Custodian 517,133 $217.77K 0.61% — 2026-06-30
7 NANO CAP NEW MILLENNIUM GROWTH FUND L P 400,000 $168.40K 0.47% — 2026-06-30
8 Crescent Grove Advisors, LLC 412,024 $146.31K 0.41% — 2026-09-30
9 Vanguard Fiduciary Trust Co 257,988 $108.61K 0.31% — 2026-06-30
10 Citadel Advisors LLC Custodian 191,369 $80.57K 0.23% — 2026-06-30
11 ACADIAN ASSET MANAGEMENT LLC 180,299 $73.00K 0.21% — 2026-06-30
12 BRIDGEWAY CAPITAL MANAGEMENT, LLC 164,100 $69.09K 0.19% — 2026-06-30
13 WIREGRASS INVESTMENT MANAGEMENT LLC 150,000 $63.15K 0.18% — 2026-06-30
14 BlackRock, Inc. Custodian 115,782 $48.74K 0.14% — 2026-06-30
15 Mink Brook Asset Management LLC 109,466 $46.09K 0.13% — 2026-06-30
16 Northern Trust Corp Custodian 101,127 $42.57K 0.12% — 2026-06-30
17 Millennium Management LLC Custodian 84,490 $35.57K 0.10% — 2026-06-30
18 XTX Topco Ltd 68,531 $28.85K 0.08% — 2026-06-30
19 WEDBUSH SECURITIES INC 45,000 $16.00K 0.04% — 2026-09-30
20 UBS Group AG Custodian 31,920 $13.44K 0.04% — 2026-06-30
21 State Street Corp 31,266 $13.16K 0.04% — 2026-06-30
22 SEI INVESTMENTS CO Custodian 24,760 $10.42K 0.03% — 2026-06-30
23 Kestra Advisory Services, LLC 20,000 $8.42K 0.02% — 2026-06-30
24 HRT FINANCIAL LP 19,597 $8.00K 0.02% — 2026-06-30
25 Ground Swell Capital, LLC 13,070 $5.50K 0.02% — 2026-06-30
# Filer Notional Value % of Total Period
# Filer Notional Value % of Total Period

XTNT Insider Trading (Form 4)

Latest: 2026-08-18
Form 4 filings — insider beneficial-ownership changes by officers, directors, and 10%+ holders. Filed within 2 business days of transaction.
Filed Reporter Role Action Shares Avg Price Net $ Link
2026-08-18 Abhinav Jain Director Award (A) +215,517 — EDGAR
2026-08-18 Scott C Neils CFO and Assistant Secretary Mixed +371,845 $0.31 -$8.7K EDGAR
2026-08-18 Jonn R. Beeson Director Award (A) +215,517 — EDGAR
2026-08-18 Sean E Browne President and CEO Mixed +539,395 $0.31 -$3.3K EDGAR
2026-08-18 Mark A. Schallenberger Chief Operating Officer Mixed +442,930 $0.31 -$2.2K EDGAR
2026-08-18 John K Bakewell Director Award (A) +215,517 — EDGAR
2026-08-18 Stavros G. Vizirgianakis Director Award (A) +323,275 — EDGAR
2026-08-18 Tyler Lipschultz Director Award (A) +215,517 — EDGAR
2026-02-18 Mark A. Schallenberger Chief Operating Officer Tax (F) −7,709 $0.58 -$4.5K EDGAR
2026-01-16 Scott C Neils CFO and Assistant Secretary Tax (F) −8,084 $0.65 -$5.3K EDGAR
2025-11-18 Tyler Lipschultz Director Award (A) +158,228 — EDGAR
2025-11-18 John K Bakewell Director Award (A) +158,228 — EDGAR
2025-11-18 Stavros G. Vizirgianakis Director Award (A) +553,797 — EDGAR
2025-11-18 Scott C Neils CFO and Assistant Secretary Award (A) +263,291 — EDGAR
2025-11-18 Jonn R. Beeson Director Award (A) +158,228 — EDGAR
Codes: P = open-market purchase · S = open-market sale · A = grant/award · M = option exercise · F = tax withholding at vest · G = bona-fide gift · D = disposition to issuer · J = other (described in filing footnote — typically 401(k), trust, inheritance) · W = will/inheritance. Only P / S codes carry directional signal.

XTNT Insider Holdings

8 insiders · @ $0.28
Officers, directors, and 10%+ owners who have filed a Form 4 in the past two years, ranked by current disclosed exposure (shares × today's price). Shares are direct + indirect (via trusts / LLCs / spouse). Excludes unvested RSU and option grants — those aren't beneficially owned until vest.
# Insider Role Shares Disclosed Exposure Lifetime OM Net Filings Last Filed
1 Stavros G. Vizirgianakis Director 7,838,845 $2.16M $1.09M 7 2026-08-18
2 Sean E Browne President and CEO 3,125,274 $859.8K -$85.8K 13 2026-08-18
3 Jonn R. Beeson Director 1,748,408 $481.0K $0 5 2026-08-18
4 Scott C Neils CFO and Assistant Secretary 1,243,381 $342.1K -$8.3K 12 2026-08-18
5 John K Bakewell Director 1,129,633 $310.8K $0 10 2026-08-18
6 Mark A. Schallenberger Chief Operating Officer 1,113,157 $306.2K $0 7 2026-08-18
7 Tyler Lipschultz Director 373,745 $102.8K $0 2 2026-08-18
8 Abhinav Jain Director 373,745 $102.8K $0 2 2026-08-18
Lifetime OM Net = signed sum of open-market buys (P) and sells (S) over their career; excludes grants, tax withholdings, and dispositions to issuer. A large negative number is normal for long-tenured executives — they've sold compensation grants over many years.

XTNT Board & Officers

As of SEC filings through Aug 18, 2026

Directors 6

Officers 3

Changes in the last 10 years (47)
Nov 18, 2025Scott C Neils listed as CFO and Assistant Secretary (previously Chief Financial Officer) in SEC filings
Nov 18, 2025Mark A. Schallenberger listed as Chief Operating Officer (previously Chief Operations Officer) in SEC filings
Aug 1, 2025Tyler Lipschultz became a director
Aug 1, 2025The company announced the departure of Robert McNamara from the board in an SEC filing
Aug 1, 2025The company announced the departure of Lori D Mitchell-Keller from the board in an SEC filing
Aug 1, 2025Abhinav Jain became a director
Apr 14, 2025Orbimed ROF II LLC reported in an SEC filing no longer being a director
Apr 14, 2025Orbimed ROF II LLC reported in an SEC filing no longer being a 10% owner
Apr 14, 2025Orbimed Advisors LLC reported in an SEC filing no longer being a director
Apr 14, 2025Orbimed Advisors LLC reported in an SEC filing no longer being a 10% owner
Apr 10, 2025Wilmot B. Harkey became a 10% owner
Apr 10, 2025Nantahala Capital Partners Limited Partnership became a 10% owner
Apr 10, 2025Nantahala Capital Management, LLC became a 10% owner
Apr 10, 2025Daniel Mack became a 10% owner
Aug 19, 2024Kevin D Brandt reported in an SEC filing no longer being Chief Commercial Officer
May 16, 2023Lori D Mitchell-Keller became a director
May 1, 2023The company announced the departure of Michael Eggenberg from the board in an SEC filing
May 1, 2023The company announced the departure of Matthew Rizzo from the board in an SEC filing
May 1, 2023Jonn R. Beeson became a director
Jan 16, 2023Mark A. Schallenberger became Chief Operations Officer
Not reported recently (18)
Compiled from SEC filings by the company and its directors and officers. Dates are as stated in those filings. Where no filing says when someone left, we show the last filing that listed them.
ETF Holders
2 ETFs hold XTNT
2 shown · $715.38K total exposure
# ETF Provider Weight $ Exposure ETF AUM As Of
1 VTI Vanguard Morningstar Total Stock Market ETF Vanguard 0.00% $532,389 — 2026-09-30
2 VXF Vanguard Extended Market ETF Vanguard 0.00% $182,996 — 2026-09-30
Fundamentals

Quarterly filings sourced from SEC 10-Q / 10-K reports. TTM tiles aggregate the most recent four quarters; bars show the last ~12 quarters oldest → newest.

Metrics
  • Revenue — top-line sales. Look for consistent YoY growth; seasonal businesses need same-quarter comparisons (Q4 '24 vs Q4 '23).
  • Net Income — bottom-line profit after all expenses. Can be volatile from one-time items; red bars = net loss.
  • Diluted EPS — net income per share assuming options/converts are exercised. Direct input to the P/E ratio.
  • Operating Cash Flow — cash generated from core operations, before capex and financing. Harder to manipulate than net income; growing OCF is a quality signal.
How to read the bars
  • Sequential growth — quarter-over-quarter trend. Accelerating bars are a momentum signal.
  • YoY growth — compare to the same quarter a year earlier to remove seasonality.
  • Quality — OCF should roughly track Net Income over time. Large divergence (net income ≫ OCF) flags accruals risk.
  • Margins — scan the bar ratios: Net Income / Revenue tells you margin trend without needing a separate chart.

TTM (trailing-twelve-month) smooths seasonality and is used for the P/E calculation. Filings appear 30–90 days after the period closes.