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Sanara Medtech vs Xtant Medical Holdings

Xtant Medical Holdings is the larger business, with $134m of revenue in fiscal 2025 against $103m for Sanara Medtech (1.3 times as much). Sanara Medtech grew faster (19.0% against 14.2%). Xtant Medical Holdings kept more of each dollar of sales as profit: a net margin of 3.7% against -36.4%. Xtant Medical Holdings carries less debt relative to equity (55.7% against 790.2%).

Latest fiscal yearSanara MedtechSMTI, 2025Xtant Medical HoldingsXTNT, 2025
Revenue $103m $134m
Revenue growth 19.0% 14.2%
Net income −$37.6m $5.0m
Operating margin 7.1% 5.4%
Net margin -36.4% 3.7%
Return on equity -165.7% 10.6%
Free cash flow $2.2m $10.2m
Cash $16.6m $17.1m
Total debt $46.9m $28.4m
Debt to equity 790.2% 55.7%
Dividend per share — —
Dividend yield — —
Share buybacks — —
Employees 108 151
Market value $295m $40.6m
Price vs our value range — —
Moat score 34 (Weak) 38 (Weak)
Insider trades, 12 months 0 buys, 0 sales 0 buys, 0 sales

Each figure is from the company's latest annual report and links to the page it comes from. Fiscal years can end on different dates. Market value and the value verdict use the delayed price shown on the stock pages. Not a recommendation.

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Figures from each company's latest annual report filed with the SEC (10-K or 20-F), as reported, with the fiscal year shown. Not investment advice. How we read filings: methodology.