Xtant Medical Holdings, Inc. provides regenerative medicine products and medical devices for orthopedic and neurological surgeons in the United States and internationally. The company offers OsteoSponge, a natural scaffold for cellular in-growth; OsteoSelect DBM Putty, which can be compressed into bony voids; OsteoSelect PLUS DBM Putty to deliver handling properties and ensure patient safety through validated and terminal sterilization; 3Demin, …
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Competitive advantage assessment
Key strengths
Superior Capital ReturnsCapital return quality is top-tier (score 0.77). High ROIC indicates the business is reinvesting at attractive rates.
Strong FCF GenerationFCF margin quality is top-tier vs peers (score 0.78). High FCF conversion confirms strong earnings quality.
The dashed ring is the peer median. Defense scores are percentile ranks
against peers, so 50 is roughly the typical company in this group.
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Xtant Medical Holdings, Inc. ranks #21 of 160
scored companies in Medical Devices by moat score — the top 13%.
The widest moat in the group is iRadimed Corporation (IRMD)
at 83/100.
Moat scores for companies ranked near XTNT in Medical Devices
How XTNT scores on the Medical Devices & Diagnostics defenses
Pricing Power & Consumable Moat
Score 60
· 25% of the moat score
In MedTech, pricing power is rarely about the machine — it is about what the machine consumes.
R&D Pipeline & Capital Returns
Score 75
· 20% of the moat score
Research spending is how a device company keeps its installed base current, but spending alone proves nothing.
FCF Quality & Cash Conversion
Score 70
· 20% of the moat score
MedTech companies grow by acquisition, and the resulting intangible amortisation depresses reported earnings without consuming any cash.
Commercial Execution
Score 73
· 15% of the moat score
Devices are sold into hospitals and labs through committees, tenders and long qualification cycles, which makes the sales organisation expensive and hard to replicate.
Capital Structure & Resilience
Score 66
· 12% of the moat score
Serial acquirers carry debt, and the question is whether the cash flows underneath it are dependable enough to service it through a downturn.
Growth Durability
Score 87
· 8% of the moat score
Growth durability separates an expanding installed base from a good product cycle.
What is Xtant Medical Holdings, Inc.'s moat score?
Xtant Medical Holdings, Inc. (XTNT) scores 70 out of 100 on the StatsAlpha Moat Map, which rates its competitive advantage as moderate. It ranks #21 of 160 scored companies in Medical Devices, the top 13%. The score is a weighted composite of 6 competitive defenses, each measured against industry peers of 159 companies in Medical Devices. Its strongest defense is Growth Durability (87/100) and its weakest is Pricing Power & Consumable Moat (60/100).
How does Xtant Medical Holdings, Inc. compare with other Medical Devices companies?
Xtant Medical Holdings, Inc. ranks #21 of 160 scored companies in Medical Devices by moat score. The widest moat in Medical Devices is iRadimed Corporation (IRMD) at 83/100. The companies ranked closest are Semler Scientific, Inc. (SMLR) at 70 just above it and TransMedics Group, Inc. (TMDX) at 70 just below it.
How is the moat score calculated?
Each company is scored with an industry-specific template — Medical Devices & Diagnostics in this case, chosen because the defenses that matter to a bank are not the ones that matter to a software company. Every defense combines several financial signals, and each signal is measured as a percentile against a peer group of 159 companies in Medical Devices. The defenses are then weighted to produce the overall score out of 100.
Why is Xtant Medical Holdings, Inc. scored with the Medical Devices & Diagnostics template?
Medical device and diagnostics companies place an instrument once and then sell the consumables, reagents and service that instrument needs for the next decade. The economics are a razor-and-blade model wrapped in regulatory approval and clinician habit, so the MedTech template scores the durability of that installed base rather than the size of any single product launch.
Which competitive defenses are measured for Xtant Medical Holdings, Inc.?
The Medical Devices & Diagnostics template measures 6 defenses, and XTNT scores: Pricing Power & Consumable Moat (60), R&D Pipeline & Capital Returns (75), FCF Quality & Cash Conversion (70), Commercial Execution (73), Capital Structure & Resilience (66), Growth Durability (87). Each is scored independently as a percentile against peers, so a company can be strong on one and weak on another — the overall score reflects how those defenses are weighted for this industry.
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