Xtant Medical Reports Third Quarter 2025 Financial Results

Total Revenue of $33.3 Million Increased 19% Year-over-Year

Delivers Positive Net Income, Adjusted EBITDA and Operating Cash Flow

Reiterates FY25 Revenue Guidance of $131-$135 Million, Representing Growth of 11%-15% over FY24

Previously Announced Sale of Certain Hardware Assets and OUS Businesses to Companion Spine Anticipated to Close by Year-End

Xtant Medical Holdings, Inc. (NYSE American: XTNT), a global medical technology company focused on surgical solutions for spinal and other orthopedic conditions, today reported financial and operating results for the third quarter ended September 30, 2025.

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Third Quarter 2025 Financial Highlights

— Revenue of $33.3 million, up 19%, compared to the prior year quarter

— Gross margin of 66.1% compared to 58.4% for the prior year quarter

— Net income of $1.3 million compared to a net loss of $5.0 million in the prior year quarter

— Adjusted EBITDA of $4.5 million compared to Adjusted EBITDA loss of $1.0 million in the prior year quarter

— Cash generated from operations of $4.6 million compared to cash used in operations of $1.7 million in the prior year quarter

— Reiterates FY25 revenue guidance to $131-$135 million, representing growth of 11%-15% over FY24 revenue

Third Quarter 2025 and Recent Business Highlights

— Announced that the pending sale of its non-core Coflex® and CoFix® assets and all OUS businesses to Companion Spine is anticipated to close by the end of 2025.

— Launched CollagenX™, its bovine collagen particulate product for surgical wound closure that is designed to promote healing, prevent dehiscence, and help mitigate concerns related to surgical site infections. CollagenX is a potential addition to every case type currently addressed by Xtant's biologics portfolio, as well as procedures performed in other surgical disciplines.

Sean Browne, President and CEO of Xtant Medical, stated, “Our strong third quarter results again reflect our recent emphasis on self-sustainability through positive free cash flow. We also delivered positive net income and adjusted EBITDA, representing significant improvements over the prior year quarter. Looking ahead, we expect that new product launches, together with measured investments in sales force expansion, will position us to deliver accelerating biologics product revenue growth while we continue to prudently manage expenses.”

Mr. Browne continued, “We anticipate the sale of certain non-core spinal implant assets and our international businesses to Companion Spine will close by the end of the year sharpening our focus on our core biologics business. I believe we are very well positioned to deliver meaningful innovation for surgeons, improved outcomes for patients, and long-term value for our shareholders.”

Third Quarter 2025 Financial Results

Revenue grew 19% to $33.3 million, compared to $27.9 million for the same quarter in 2024. The increase is due primarily to licensing revenue.

Gross margin for the third quarter of 2025 was 66.1%, compared to 58.4% for the same period in 2024. The increase is primarily attributable to favorable sales mix and greater scale.

Operating expenses for the third quarter of 2025 totaled $19.5 million, compared to $20.1 million for the third quarter of 2024. The reduction in operating expenses is primarily attributable to reduced compensation and commission expenses, which were partially offset by an increase in professional fees related to sales and marketing.

Net income totaled $1.3 million, or $0.01 per share on a fully diluted basis, compared to a net loss of $5.0 million, or $(0.04) per share, in the third quarter of 2024.

Non-GAAP adjusted EBITDA for the third quarter of 2025 totaled $4.5 million, compared to an adjusted EBITDA loss of $1.0 million for the same period in 2024. Beginning in the fourth quarter of 2024, phasing of the bargain purchase gain on sell through of inventory acquired as part of the purchase of Surgalign Holdings' hardware and biologics business is no longer included in acquisition-related fair value adjustments in the non-GAAP adjusted EBITDA calculation and prior period calculations as presented herein have been recast to conform to the current presentation and calculation.

The Company defines adjusted EBITDA as net income/loss from operations before depreciation, amortization and interest expense and provision for income tax/benefit, and as further adjusted to add back in or exclude, as applicable, separation-related expenses, non-cash compensation, disposition/acquisition-related expense, acquisition-related fair value adjustments, and unrealized foreign currency translation gain or loss. A calculation and reconciliation of adjusted EBITDA to net income (loss) can be found in the attached financial tables.

As of September 30, 2025, the Company had $10.6 million of cash and cash equivalents compared to $6.2 million as of December 31, 2024.

2025 Financial Guidance

Xtant is reiterating its full-year 2025 revenue guidance of $131 million to $135 million, which represents approximately 11% to 15% growth over the Company's full-year 2024 revenue.

Conference Call

Xtant Medical will host a webcast and conference call to discuss its third quarter 2025 financial and operating results at 8:30 am ET tomorrow, November 11, 2025.

To access the webcast:https://www.webcaster5.com/Webcast/Page/3039/52972

To access the conference call, dial 888-506-0062 (US) or 973-528-0011 (International) and reference Participant Access Code 579614.

A replay of the call will be available on the Investor section of the Company's website at www.xtantmedical.com.

About Xtant Medical Holdings, Inc.

Xtant Medical's mission of honoring the gift of donation so that our patients can live as full and complete a life as possible, is the driving force behind our company. Xtant Medical Holdings, Inc. (www.xtantmedical.com) is a global medical technology company focused on the design, development, and commercialization of a comprehensive portfolio of orthobiologics serving the chronic and surgical wound care and sports medicine markets, as well as spinal implant systems. Xtant people are dedicated and talented, operating with the highest integrity to serve our customers.

The symbols ™ and ® denote trademarks and registered trademarks of Xtant Medical Holdings, Inc. or its affiliates, registered as indicated in the United States, and in other countries. All other trademarks and trade names referred to in this release are the property of their respective owners.

Non-GAAP Financial Measures

To supplement the Company's consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (GAAP), the Company uses certain non-GAAP financial measures in this release, including adjusted EBITDA. Reconciliations of the non-GAAP financial measures used in this release to the most comparable GAAP measures for the respective periods can be found in tables later in this release. The Company's management believes that the presentation of these measures provides useful information to investors. These measures may assist investors in evaluating the Company's operations, period over period. Management uses the non-GAAP measures in this release internally for evaluation of the performance of the business, including the allocation of resources. Investors should consider non-GAAP financial measures only as a supplement to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP.

Cautionary Statement Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as “intends,” ''expects,'' ''anticipates,'' ''plans,'' ''believes,'' ''estimates,'' “continue,” “future,” ''will,'' “potential,” “going forward,” “guidance,” similar expressions or the negative thereof, and the use of future dates. Forward-looking statements in this release include the Company's full year 2025 revenue guidance, the anticipated timing of the closing of the sale of the Company's Coflex® and CoFix® assets and its OUS businesses to Companion Spine, and the Company's expectation that new product launches, together with investments in sales force expansion, will position the Company to deliver accelerating biologics product revenue growth while continuing to prudently manage expenses. The Company cautions that its forward-looking statements by their nature involve risks and uncertainties, and actual results may differ materially depending on a variety of important factors, including, among others: the possibility that the sale of the Company's Coflex and CoFix products and international businesses are not completed or, if completed, that the anticipated benefits of the transactions are not realized when expected or at all; the possibility that the transactions may be more expensive to complete than anticipated; diversion of management's attention from ongoing business operations and opportunities; the occurrence of any event, change or other circumstances that could give rise to the right of the parties to terminate either or both transactions; exposure to potential litigation and adverse tax consequences; the Company's future operating results and financial performance; its ability to increase or maintain revenue; the Company's ability to become operationally self-sustaining and less reliant on third-party manufacturers and suppliers; risks associated with its acquisitions and the integration of those businesses; anticipated shortages of stem cells which will adversely affect future revenues; the ability to implement successfully its future growth initiatives and risks associated therewith; possible future impairment charges to long-lived assets and goodwill and write-downs of excess inventory; the ability to remain competitive; the ability to innovate, develop and introduce new products and the success of those products; the ability to engage and retain new and existing independent distributors and agents and qualified sales and other personnel and the Company's dependence on key independent agents for a significant portion of its revenue; the effect of labor and hospital staffing shortages on the Company's business, operating results and financial condition, especially when they affect key markets; the effect of inflation, increased interest rates and other recessionary factors and supply chain disruptions; the effect of product sales mix changes on the Company's financial results; government and third-party coverage and reimbursement for Company products; the ability to obtain and maintain regulatory approvals and comply with government regulations; the effect of product liability claims and other litigation to which the Company may be subject; the effect of product recalls and defects; the ability to license certain of the Company's intellectual property on commercially reasonable terms and to maintain any such licenses; the ability to obtain and protect Company intellectual property and proprietary rights and operate without infringing the rights of others; risks associated with the Company's clinical trials; international risks; the ability to service Company debt, comply with its debt covenants and access additional indebtedness or financing on favorable terms or at all, if and when needed; and other factors. Additional risk factors are contained in the Company's Annual Report on Form 10-K for the year ended December 31, 2024 filed with the Securities and Exchange Commission (SEC) on March 6, 2025 and subsequent SEC reports, including its Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2025 to be filed with the SEC on November 12, 2025. Investors are encouraged to read the Company's filings with the SEC, available at www.sec.gov, for a discussion of these and other risks and uncertainties. The Company undertakes no obligation to release publicly any revisions to any forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events, except as required by law. All forward-looking statements attributable to the Company or persons acting on its behalf are expressly qualified in their entirety by this cautionary statement.

Tables Follow –

XTANT MEDICAL HOLDINGS, INC.Condensed Consolidated Balance Sheets(In thousands, except number of shares and par value) As of As of September December 31, 30, 2025 2024ASSETSCurrent Assets:Cash and cash-equivalents $ 10,400 $ 6,199Restricted cash 241 22Trade accounts receivable, net of allowance for credit losses of 25,517 20,660$2,025 and $1,437, respectivelyInventories 40,714 38,634Prepaid and other current assets 1,458 1,601Total current assets 78,330 67,116Property and equipment, net 10,009 10,131Right of use asset, net 3,619 829Goodwill 7,302 7,302Intangible assets, net 7,060 8,356Other assets 1 103Total Assets $ 106,321 $ 93,837LIABILITIES & STOCKHOLDERS' EQUITYCurrent Liabilities:Accounts payable $ 6,856 $ 7,918Accrued liabilities 11,535 7,771Advances from pending sale of Coflex/Cofix assetsand 5,000 -international hardware businessCurrent portion of lease liability 760 703Current portion of finance lease obligations 44 69Line of credit 11,308 12,120Total current liabilities 35,503 28,581Long-term Liabilities:Lease liability, net 2,949 166Financing lease obligations, net 22 47Long-term debt, plus premium and less issuance costs 17,404 22,038Deferred tax liability 60 42Total Liabilities 55,938 50,874Stockholders' EquityPreferred stock, $0.000001 par value; 10,000,000 shares – -authorized; no shares issued and outstandingCommon stock, $0.000001 par value; 300,000,000 shares authorized; – -140,004,240 shares issued and outstanding as of September 30, 2025and 139,045,664 shares issued and outstanding as of December 31,2024Additional paid-in capital 304,787 302,738Accumulated other comprehensive income 139 (316)Accumulated deficit (254,543) (259,459)Total Stockholders' Equity 50,383 42,963Total Liabilities & Stockholders' Equity $ 106,321 $ 93,837XTANT MEDICAL HOLDINGS, INC.Condensed Consolidated Statements of Operations(Unaudited, in thousands, except number of shares and per share amounts) Three Months Ended Nine Months Ended September 30, September 30, 2025 2024 2025 2024RevenueProduct revenue $ 27,772 $ 27,937 $ 87,492 $ 85,754License revenue 5,483 – 14,078 -Total Revenue 33,255 27,937 101,570 85,754Cost of Sales 11,263 11,630 35,051 33,562Gross Profit 21,992 16,307 66,519 52,192Gross Profit % 66.1% 58.4% 65.5% 60.9%Operating ExpensesGeneral and administrative 7,071 7,493 22,082 22,991Sales and marketing 11,746 11,890 34,566 37,530Research and development 634 701 1,643 1,863Total Operating Expenses 19,451 20,084 58,291 62,384Loss from Operations 2,541 (3,777) 8,228 (10,192)Other (Expense) IncomeInterest expense (904) (1,199) (2,953) (3,026)Unrealized foreign currency translation gain (56) 27 146 106Other (Expense) Income (16) (13) (18) (6)Total Other (Expense) Income (976) (1,185) (2,825) (2,926)Net Income (Loss) from Operations Before Provision for Income Taxes 1,565 (4,962) 5,403 (13,118)Benefit (Provision) for Income TaxesCurrent and Deferred (257) (62) (487) (166)Net Income (Loss) $ 1,308 $ (5,024) $ 4,916 $ (13,284)Net Income (Loss) Per Share:Basic $ 0.01 $ (0.04) $ 0.04 $ (0.11)Dilutive $ 0.01 $ (0.04) $ 0.04 $ (0.10)Shares used in the computation:Basic 139,712,969 135,100,233 139,366,489 131,881,302Dilutive 150,377,234 135,100,233 149,912,292 131,881,302XTANT MEDICAL HOLDINGS, INC.Condensed Consolidated Statements of Cash Flows(Unaudited, in thousands) Nine Months Ended September 30, 2025 2024Operating activities:Net income (loss) $ 4,916 $ (13,284)Adjustments to reconcile net income (loss) to net cash used in operating activities:Depreciation and amortization 3,404 3,076Gain on sale of fixed assets (16) (182)Non-cash interest 415 369Stock-based compensation 2,165 3,277Provision for reserve on accounts receivable 568 330Provision for excess and obsolete inventory 1,318 695Other 68 (1)Changes in operating assets and liabilities:Trade accounts receivable (5,639) (128)Inventories (2,789) (5,657)Prepaid and other assets 314 (503)Accounts payable (1,279) 1,290Accrued liabilities 3,721 (1,843)Net cash provided by (used in) operating activities 7,166 (12,561)Investing activities:Purchases of property and equipment (1,987) (3,441)Proceeds from sale of fixed assets 206 278Advances from pending sales of Coflex/CoFix assetsand international hardware business 5,000 -Net cash used in investing activities 3,219 (3,163)Financing activities:Payments on financing leases (51) (49)Borrowings on line of credit 77,573 86,315Repayments on line of credit (78,385) (78,050)Payment on long-term debt (5,000) -Proceeds from issuance of long term debt – 5,000Debt issuance costs (49) (648)Proceeds from private placement, net of cash issuance costs – 4,456Proceeds from the exercise of stock based compensation – 13Payment of taxes from withholding of common stock on settlement of restricted stock units (116) (110)Net cash (used in) provided by financing activities (6,028) 16,927Effect of exchange rate changes on cash and cash equivalents and restricted cash 63 (40)Net change in cash and cash equivalents and restricted cash 4,420 1,163Cash and cash equivalents and restricted cash at beginning of year 6,221 5,923Cash and cash equivalents and restricted cash at end of year $ 10,641 $ 7,086Reconciliation of cash and cash equivalents and restricted cash reported in the consolidated balance sheetsCash and cash equivalents 10,400 6,596Restricted cash 241 490Total cash and restricted cash reported in the consolidated balance sheets $ 10,641 $ 7,086XTANT MEDICAL HOLDINGS, INC.CALCULATION OF NON-GAAP CONSOLIDATED EBITDA AND ADJUSTED EBITDA(In thousands) Three Months Ended Nine Months Ended September 30, September 30, 2025 2024 2025 2024Net Income (Loss) $ 1,308 $ (5,024) $ 4,916 $ (13,284)Depreciation and amortization 1,161 1,073 3,404 3,076Interest expense 904 1,199 2,953 3,026Tax (benefit) expense 257 62 487 166Non-GAAP EBITDA 3,630 (2,690) 11,760 (7,016)Non-GAAP EBITDA/Total revenue 10.9% -9.6% 11.6% -8.2%NON-GAAP ADJUSTED EBITDA CALCULATIONSeparation related expenses – 464 23 490Non-cash compensation 641 1,139 2,165 3,277Acquisition/disposition-related expense 74 – 369 338Acquisition-related fair value adjustments (1) 140 145 311 529Unrealized foreign currency translation (gain) loss 56 (27) (146) (106)Non-GAAP Adjusted EBITDA $ 4,541 $ (969) $ 14,482 $ (2,488)Non-GAAP Adjusted EBITDA/Total revenue 13.7% -3.5% 14.3% -2.9%(1) Beginning in the fourth quarter of 2024, phasing of the bargain purchase gain on sell through of inventory acquired as part of the purchase of Surgalign Holdings' hardware and biologics business is no longer included in acquisition-related fair value adjustments in the non-GAAP adjusted EBITDA calculation and prior period calculations as presented herein have been recast to conform to the current presentation and calculation. The related effect on adjusted EBITDA was a reduction of $0.8 million and $2.9 million for the three and nine months ended September 30, 2024 to arrive at recast amounts.

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SOURCE Xtant Medical Holdings, Inc.

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