Xtant Medical Holdings Inc. (XTNT) Options Positioning, Max Pain & Unusual Sweeps

$0.29 +1.54% NYSE • Live Quote vs Prior Daily Close (Synced Snapshot)

Xtant Medical Holdings Inc. (XTNT) carries a Roarable Rating of C+ (Hold) with 69/100 RQD Confidence. The composite score sits in the neutral Hold band (59–69), meaning current holders don’t need to panic-sell while prospective buyers can wait for a move into the 70+ Buy zone.

ROARABLE C+ • HOLD / WATCH Cap $40.7M
📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card
INTERACTIVE SCENARIO DECK:
🛡️ Portfolio Crash X-Ray
RQD QUANT TACHOMETERHOLD / WATCH • C+
025507510069
JEV AI Jury Split (Battleground)
Cash
SEC
Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw B · Rk C
Cash (12)Whales (15)SEC (12)Macro (14)CEO (16)
Each axis scored 0–20
12M PRICE TARGET CONE+3.4% Base Target
$1 Bull$0 Base$0 Bear
📬 FREE XTNT RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for XTNT)Realized 20D OHLCV Swing Band: ±12.5%
CALL VS. PUT WHALE SHARE
— (No Active Options Snapshot)
Put/Call Ratio: — (No Active Options Snapshot)
MAX-PAIN EXPIRATION MAGNET
— (No Active Options Snapshot)
No active options chain max-pain snapshot on file
HISTORICAL 20D VOLATILITY SWING
±12.5%
Derived from 20D OHLCV bars (No Active Options Snapshot)

Active Strike Call vs. Put Concentration Ladder (XTNT)

— (No Active Options Snapshot) — No unusual CBOE strike concentration anomalies recorded in the current database snapshot for XTNT.

Sponsored / Partner SpotlightACTIVE TRADER & PROP EVALUATION DESK

Practice in Our Weekly $100,000 Paper Arena Before Risking Personal Capital

Keep your personal nest egg in cash while trading NQ, ES, Crude, and Gold momentum using institutional prop-desk buying power.

FTC Disclosure: Roarable may receive partner referral compensation at no cost to you. Partner relationships never influence RQD scores.

🏆 Enter Free $100K Paper Arena →
ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher + Options & Swing Structure Desk

Whale Flow & Momentum Playbook: Evaluating XTNT & AI Leaders Without Chasing Tops

  • ✓Institutional whale strikes & implied earnings move audit on XTNT
  • ✓How disciplined traders manage risk using pre-published trigger & invalidation levels
  • ✓Includes nightly RQD rating-change & forensic signal email alerts on tracked leaders
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
Want Custom AI PineScript / Python Indicators & Priority Rating-Change Alerts?
XTNT // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -44.23%🛡️ HOLDING TREND SUPPORT
2026-10-30O $0.28H $0.30L $0.28C $0.29VOL 44.5K
RES: $0.44SUP: $0.27SMA50: $0.33SMA200: $0.46
$0.67$0.56$0.45$0.34$0.24RES $0.44SUP $0.27$0.292026-04-302026-06-152026-07-312026-09-162026-10-30
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

XTNT Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
-15.0%/yr Implied 5Y Growth

vs. +14.2% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on XTNT today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for XTNT. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
🎬 No recent verified company-specific video clip queued for XTNT today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (XTNT)

Health Care Rank #104 of 1016 ⚔️ TELA vs XTNT Full Matrix →

1. Head-to-Head Health Care Peer Comparison (XTNT vs. TELA, CVRX, SNWV, SRTS)

Industry: Medical/Dental Instruments (120 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Xtant Medical Holdings Inc. (XTNT) ranks #104 by composite RQD confidence (69/100, grade C+) and #773 by equity capitalization ($40.7M). Within this direct 5-issuer industry benchmark cohort, SNWV leads on earnings valuation at 3.8x trailing P/E, while SNWV leads on capital efficiency and profitability with 67.3% ROIC and 77.1% gross margin. XTNT currently leads its immediate peer cohort in composite quantitative strength at 69/100 (C+).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
XTNT ACTIVE
Xtant Medical Holdings Inc.
C+ 69/100 — 62.9% 12.8% +1.54% $40.7M Benchmark Subject
TELA
TELA Bio Inc.
D- 36/100 — 67.7% -35.0% -5.74% $41.5M /tela-vs-xtnt →
CVRX
CVRx Inc.
D- 43/100 — 85.3% -35.0% +1.79% $38.0M /cvrx-vs-xtnt →
SNWV
SANUWAVE Health Inc.
D+ 53/100 3.8x 77.1% 67.3% 0.00% $45.3M /snwv-vs-xtnt →
SRTS
Sensus Healthcare Inc.
D 46/100 — 43.2% -31.3% -1.77% $45.6M /srts-vs-xtnt →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001453593

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Xtant Medical Holdings Inc. (XTNT) reported GAAP revenue of $133.9M (+14.2% vs. FY2024 revenue of $117.3M , and +46.7% cumulative change since FY2023) , GAAP net income of $5.0K, operating cash flow of $12.5M, and free cash flow of $10.2M (+163.5% YoY). On the balance sheet, XTNT closed FY2025 with $94.1M in total assets against $11.0M in total debt (Altman Z-Score: 0.20, Piotroski F-Score: 9/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $133.9M $5.0K $12.5M $10.2M $94.1M $11.0M
FY2024 (FY) 2024-12-31 $117.3M -$16.4K -$11.9M -$16.0M $93.8M $22.0M
FY2023 (FY) 2023-12-31 $91.3M $660 -$9.5M -$9.5M — —

3. XTNT Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is XTNT stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-01, Xtant Medical Holdings Inc. (NYSE: XTNT) is rated C+ (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 69/100 at a spot price of $0.29 (+1.54% 1D, market cap $40.7M). Pillar breakdown: Fundamental Cash Engine 12/20, Institutional 13F & Options Flow 15/20, Executive Insider Alignment 12/20, FRED Macro Regime Fit 14/20, and SEC Balance-Sheet Forensics 16/20. Across 1016 tracked Health Care issuers, XTNT ranks #104 in composite RQD confidence.

How does XTNT compare to TELA and CVRX in the Health Care sector?

Within the Health Care sector (Medical/Dental Instruments), XTNT carries a Roarable C+ (69/100 RQD), trailing P/E of N/A, gross margin of 62.9%, and ROIC of 12.8%. By comparison, TELA (TELA Bio Inc.) holds a D- grade (36/100 RQD, P/E N/A, ROIC -35.0%, cap $41.5M) and CVRX (CVRx Inc.) posts a D- grade (43/100 RQD, P/E N/A, ROIC -35.0%, cap $38.0M). Among the 5-stock peer group, SNWV leads on earnings multiple (3.8x) while SNWV leads on capital efficiency (67.3% ROIC).

What are the biggest fundamental strengths and SEC risk factors for XTNT?

Per XTNT's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001453593), Xtant Medical Holdings Inc. generated $133.9M in revenue (+14.2% YoY), $5.0K in net income, and $10.2M in free cash flow against $94.1M in total assets and $11.0M in total debt. Key quantitative strengths: Big institutional funds and options desks are actively positioning on the bullish side.. Primary risk factors monitored: Recent SEC filings added new risk-factor disclosures that warrant keeping an eye on margins.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is XTNT trading relative to its 50-day, 200-day, and 52-week technical levels?

XTNT last traded at $0.29 (+1.54% on volume of 38,463 shares), positioning the stock -12.12% below its 50-day simple moving average ($0.33) and -36.96% below its 200-day simple moving average ($0.46). Across its 52-week range of $0.27 to $0.89, XTNT sits at the 3.2% percentile with a 14-day RSI of 34.9 (NEUTRAL RANGE) and an implied next-earnings move of ±12.5% ($1.00 to $0.33).

XTNT Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS • SEC EDGAR × CBOE × FRED

What is XTNT's options positioning and volatility profile?

Roarable tracks verified CBOE unusual options sweeps, put/call ratios, and OHLCV realized volatility bands for XTNT.

LIVE TAPE SPY $755.72 -0.38% QQQ $690.49 -1.44% DIA $517.13 -0.37% IWM $279.33 +0.96% NVDA $213.66 -0.80% AAPL $348.91 +1.48% MSFT $530.14 -0.16% TSLA $403.30 -0.23% PLTR $196.42 -0.20% SOFI $17.61 +2.74% IBIT $43.36 -0.94% GLD $355.78 -1.34%