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Xtant Medical Holdings, Inc.

XTNT
Exchange
NYSE
Industry
Surgical & Medical Instruments & Apparatus
SEC CIK
0001453593

No open-market purchases or sales by Xtant Medical Holdings, Inc. insiders were filed in the last 90 days; 32 institutions reported holding it in 13F filings for Q2 2026, worth $33.8M in total; no superinvestor holds it.

13F holders, Q4 2025

Institutional positions in Xtant Medical Holdings, Inc. as of Dec 31, 2025. Investment managers with $100 million or more in US stocks report their long positions on Form 13F within 45 days after each quarter ends. How 13F works

Institutional holders
35
+5 vs. Q3 2025
Shares held
81.4M
+1.34M (+1.7%) vs. Q3 2025
Total value
$63.8M
+$11.9M (+22.8%) vs. Q3 2025
New holders
12
4 more added
Sold out
7
9 more reduced

Compare with Q3 2025: new holders, sold out and not filed yet

Holders and value by quarter

Institutions reporting XTNT on Form 13F each quarter since Q1 2021, and the total value they reported. Values are as of each quarter end, so they also move with the share price.

Institutional holdersQ4 2025: 35 institutions
Q1 2021: 21 institutionsQ2 2021: 20 institutionsQ3 2021: 17 institutionsQ4 2021: 22 institutionsQ1 2022: 19 institutionsQ2 2022: 18 institutionsQ3 2022: 18 institutionsQ4 2022: 19 institutionsQ1 2023: 21 institutionsQ2 2023: 19 institutionsQ3 2023: 28 institutionsQ4 2023: 31 institutionsQ1 2024: 33 institutionsQ2 2024: 27 institutionsQ3 2024: 28 institutionsQ4 2024: 30 institutionsQ1 2025: 28 institutionsQ2 2025: 30 institutionsQ3 2025: 30 institutionsQ4 2025: 35 institutionsQ1 2026: 34 institutionsQ2 2026: 32 institutions
Value heldQ4 2025: $63.8M
Q1 2021: $175.8MQ2 2021: $134.8MQ3 2021: $89.4MQ4 2021: $45.2MQ1 2022: $54.8MQ2 2022: $41.9MQ3 2022: $58.8MQ4 2022: $54.1MQ1 2023: $52.2MQ2 2023: $76.0MQ3 2023: $99.3MQ4 2023: $101.9MQ1 2024: $105.7MQ2 2024: $56.7MQ3 2024: $66.1MQ4 2024: $42.8MQ1 2025: $45.3MQ2 2025: $59.1MQ3 2025: $52.0MQ4 2025: $63.8MQ1 2026: $45.1MQ2 2026: $33.8M
Institutions holding XTNT and their total value by quarter
QuarterHoldersValue
Q2 202632$33.8M
Q1 202634$45.1M
Q4 202535$63.8M
Q3 202530$52.0M
Q2 202530$59.1M
Q1 202528$45.3M
Q4 202430$42.8M
Q3 202428$66.1M
Q2 202427$56.7M
Q1 202433$105.7M
Q4 202331$101.9M
Q3 202328$99.3M
Q2 202319$76.0M
Q1 202321$52.2M
Q4 202219$54.1M
Q3 202218$58.8M
Q2 202218$41.9M
Q1 202219$54.8M
Q4 202122$45.2M
Q3 202117$89.4M
Q2 202120$134.8M
Q1 202121$175.8M

Institutions, Q4 2025

Shares, value and share of portfolio for each institution holding Xtant Medical Holdings, Inc.; share changes are against Q3 2025.

Institutions holding XTNT in Q4 2025
InstitutionSharesValue% of portfolioChange in sharesAction
Nantahala Capital Management, LLC68,394,000$53.6M3.20%00.0%Unchanged
AWM Investment Company, Inc.6,594,121$5.17M0.50%00.0%Unchanged
Vanguard Group Inc2,272,591$1.78M0.00%−83,080−3.5%Reduced
Renaissance Technologies LLC919,860$721.2K0.00%+205,945+28.8%Added
Geode Capital Management, LLC491,949$385.8K0.00%00.0%Unchanged
Crescent Grove Advisors, LLC412,024$323.0K0.03%00.0%Unchanged
Hillsdale Investment Management Inc.362,200$284.0K0.01%+362,200New
Citadel Advisors LLC287,798$225.6K0.00%+207,721+259.4%Added
Nano Cap New Millennium Growth Fund L P280,000$219.5K0.19%+280,000New
Millennium Management LLC190,846$149.6K0.00%−52,078−21.4%Reduced
Acadian Asset Management LLC194,062$149.0K0.00%+194,062New
Bridgeway Capital Management, LLC164,100$128.7K0.00%00.0%Unchanged
BlackRock, Inc.115,782$90.8K0.00%−4,544−3.8%Reduced
Mink Brook Asset Management LLC109,466$85.8K0.05%00.0%Unchanged
Wiregrass Investment Management LLC103,000$80.8K0.07%+103,000New
Tradition Wealth Management, LLC100,297$78.6K0.01%+100,297New
Private Advisor Group, LLC85,000$66.6K0.00%−38,000−30.9%Reduced
Two Sigma Securities, LLC77,350$60.6K0.01%+77,350New
Northern Trust Corp57,464$45.1K0.00%−1,202−2.0%Reduced
Susquehanna International Group, LLP36,158$28.3K0.00%+36,158New
State Street Corp31,266$24.5K0.00%00.0%Unchanged
Prudential Financial Inc23,400$18.3K0.00%00.0%Unchanged
Lazard Asset Management LLC22,720$17.8K0.00%+22,720New
Virtu Financial LLC20,146$16.0K0.00%−11,518−36.4%Reduced
Kestra Advisory Services, LLC20,000$15.7K0.00%+20,000New
Jane Street Group, LLC19,206$15.1K0.00%+19,206New
Equitable Holdings, Inc.11,450$8.98K0.00%−10,000−46.6%Reduced
Tower Research Capital LLC (TRC)4,616$3.62K0.00%+1,046+29.3%Added
Massmutual Trust Co FSB2,000$1.57K0.00%+2,000New
Morgan Stanley1,125$8820.00%+1,125New
Bank of America Corp428$3360.00%+35+8.9%Added
Hallmark Capital Management Inc298$2340.00%00.0%Unchanged
Cornerstone Planning Group LLC12$70.00%−13−52.0%Reduced
UBS Group AG8$60.00%−387−98.0%Reduced
SBI Securities Co., Ltd.2$20.00%00.0%Unchanged
Wells Fargo & Company0$00.00%−1−100.0%Sold out
HRT Financial LP0$00.00%−40,803−100.0%Sold out
Goldman Sachs Group Inc0$00.00%−21,034−100.0%Sold out
Petros Family Wealth, LLC0$00.00%−20,000−100.0%Sold out
Larson Financial Group LLC0$00.00%−10,000−100.0%Sold out
JPMorgan Chase & Co0$00.00%−107−100.0%Sold out
Barclays PLC0$00.00%−8−100.0%Sold out