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Side-by-side financial comparison of ADAMAS TRUST, INC. (ADAM) and Xtant Medical Holdings, Inc. (XTNT). Click either name above to swap in a different company.

ADAMAS TRUST, INC. is the larger business by last-quarter revenue ($43.2M vs $32.4M, roughly 1.3× Xtant Medical Holdings, Inc.). ADAMAS TRUST, INC. runs the higher net margin — 124.0% vs 0.2%, a 123.8% gap on every dollar of revenue. On growth, ADAMAS TRUST, INC. posted the faster year-over-year revenue change (61.6% vs 2.7%). ADAMAS TRUST, INC. produced more free cash flow last quarter ($125.9M vs $5.0M). Over the past eight quarters, ADAMAS TRUST, INC.'s revenue compounded faster (55.5% CAGR vs 7.7%).

Xtant Medical Holdings, Inc. is a global medical technology company that develops, manufactures and markets orthobiologic products, neurosurgery devices, and regenerative medicine solutions for orthopedic and neurological care providers. It serves patients and medical institutions across North America, Europe and the Asia-Pacific, with core segments covering spinal surgery supplies and bone regeneration products.

ADAM vs XTNT — Head-to-Head

Bigger by revenue
ADAM
ADAM
1.3× larger
ADAM
$43.2M
$32.4M
XTNT
Growing faster (revenue YoY)
ADAM
ADAM
+58.9% gap
ADAM
61.6%
2.7%
XTNT
Higher net margin
ADAM
ADAM
123.8% more per $
ADAM
124.0%
0.2%
XTNT
More free cash flow
ADAM
ADAM
$120.9M more FCF
ADAM
$125.9M
$5.0M
XTNT
Faster 2-yr revenue CAGR
ADAM
ADAM
Annualised
ADAM
55.5%
7.7%
XTNT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ADAM
ADAM
XTNT
XTNT
Revenue
$43.2M
$32.4M
Net Profit
$53.5M
$57.0K
Gross Margin
54.9%
Operating Margin
-2.9%
Net Margin
124.0%
0.2%
Revenue YoY
61.6%
2.7%
Net Profit YoY
270.5%
101.8%
EPS (diluted)
$0.45
$0.00

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ADAM
ADAM
XTNT
XTNT
Q4 25
$43.2M
$32.4M
Q3 25
$36.6M
$33.3M
Q2 25
$36.4M
$35.4M
Q1 25
$33.1M
$32.9M
Q4 24
$26.7M
$31.5M
Q3 24
$20.2M
$27.9M
Q2 24
$19.0M
$29.9M
Q1 24
$17.9M
$27.9M
Net Profit
ADAM
ADAM
XTNT
XTNT
Q4 25
$53.5M
$57.0K
Q3 25
$44.8M
$1.3M
Q2 25
$8.5M
$3.5M
Q1 25
$42.2M
$58.0K
Q4 24
$-31.4M
$-3.2M
Q3 24
$42.8M
$-5.0M
Q2 24
$-15.6M
$-3.9M
Q1 24
$-57.9M
$-4.4M
Gross Margin
ADAM
ADAM
XTNT
XTNT
Q4 25
54.9%
Q3 25
66.1%
Q2 25
68.6%
Q1 25
61.5%
Q4 24
50.9%
Q3 24
58.4%
Q2 24
62.1%
Q1 24
62.1%
Operating Margin
ADAM
ADAM
XTNT
XTNT
Q4 25
-2.9%
Q3 25
7.6%
Q2 25
11.7%
13.1%
Q1 25
3.2%
Q4 24
-119.0%
-6.0%
Q3 24
-13.5%
Q2 24
-124.7%
-9.8%
Q1 24
-448.8%
-12.4%
Net Margin
ADAM
ADAM
XTNT
XTNT
Q4 25
124.0%
0.2%
Q3 25
122.5%
3.9%
Q2 25
23.4%
10.0%
Q1 25
127.4%
0.2%
Q4 24
-117.5%
-10.0%
Q3 24
211.7%
-18.0%
Q2 24
-81.9%
-12.9%
Q1 24
-324.1%
-15.8%
EPS (diluted)
ADAM
ADAM
XTNT
XTNT
Q4 25
$0.45
$0.00
Q3 25
$0.36
$0.01
Q2 25
$-0.04
$0.02
Q1 25
$0.33
$0.00
Q4 24
$-0.46
$-0.02
Q3 24
$0.36
$-0.04
Q2 24
$-0.29
$-0.03
Q1 24
$-0.75
$-0.03

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ADAM
ADAM
XTNT
XTNT
Cash + ST InvestmentsLiquidity on hand
$210.3M
$17.1M
Total DebtLower is stronger
$735.8M
$11.0M
Stockholders' EquityBook value
$1.4B
$51.0M
Total Assets
$12.6B
$94.1M
Debt / EquityLower = less leverage
0.52×
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ADAM
ADAM
XTNT
XTNT
Q4 25
$210.3M
$17.1M
Q3 25
$185.3M
$10.4M
Q2 25
$160.4M
$6.9M
Q1 25
$177.1M
$5.0M
Q4 24
$167.4M
$6.2M
Q3 24
$195.1M
$6.6M
Q2 24
$235.5M
$5.4M
Q1 24
$226.9M
$4.5M
Total Debt
ADAM
ADAM
XTNT
XTNT
Q4 25
$735.8M
$11.0M
Q3 25
$766.6M
$17.4M
Q2 25
$653.0M
$22.3M
Q1 25
$654.4M
$22.2M
Q4 24
$573.2M
$22.0M
Q3 24
$699.4M
$19.1M
Q2 24
$800.7M
$21.8M
Q1 24
$1.0B
$16.8M
Stockholders' Equity
ADAM
ADAM
XTNT
XTNT
Q4 25
$1.4B
$51.0M
Q3 25
$1.4B
$50.4M
Q2 25
$1.4B
$48.5M
Q1 25
$1.4B
$43.9M
Q4 24
$1.4B
$43.0M
Q3 24
$1.4B
$45.7M
Q2 24
$1.4B
$45.0M
Q1 24
$1.5B
$47.7M
Total Assets
ADAM
ADAM
XTNT
XTNT
Q4 25
$12.6B
$94.1M
Q3 25
$12.4B
$106.3M
Q2 25
$10.6B
$103.5M
Q1 25
$10.0B
$95.8M
Q4 24
$9.2B
$93.8M
Q3 24
$8.9B
$98.9M
Q2 24
$8.2B
$95.6M
Q1 24
$7.4B
$93.9M
Debt / Equity
ADAM
ADAM
XTNT
XTNT
Q4 25
0.52×
0.22×
Q3 25
0.55×
0.35×
Q2 25
0.47×
0.46×
Q1 25
0.47×
0.51×
Q4 24
0.41×
0.51×
Q3 24
0.48×
0.42×
Q2 24
0.56×
0.48×
Q1 24
0.67×
0.35×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ADAM
ADAM
XTNT
XTNT
Operating Cash FlowLast quarter
$134.0M
$5.4M
Free Cash FlowOCF − Capex
$125.9M
$5.0M
FCF MarginFCF / Revenue
291.6%
15.4%
Capex IntensityCapex / Revenue
18.9%
1.2%
Cash ConversionOCF / Net Profit
2.50×
94.39×
TTM Free Cash FlowTrailing 4 quarters
$10.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ADAM
ADAM
XTNT
XTNT
Q4 25
$134.0M
$5.4M
Q3 25
$6.9M
$4.6M
Q2 25
$39.2M
$1.3M
Q1 25
$25.8M
$1.3M
Q4 24
$14.1M
$665.0K
Q3 24
$-922.0K
$-1.7M
Q2 24
$-993.0K
$-5.1M
Q1 24
$-13.1M
$-5.8M
Free Cash Flow
ADAM
ADAM
XTNT
XTNT
Q4 25
$125.9M
$5.0M
Q3 25
$4.2M
Q2 25
$910.0K
Q1 25
$87.0K
Q4 24
$-10.6M
$-7.0K
Q3 24
$-8.6M
$-3.8M
Q2 24
$-8.6M
$-5.7M
Q1 24
$-19.1M
$-6.5M
FCF Margin
ADAM
ADAM
XTNT
XTNT
Q4 25
291.6%
15.4%
Q3 25
12.6%
Q2 25
2.6%
Q1 25
0.3%
Q4 24
-39.6%
-0.0%
Q3 24
-42.3%
-13.7%
Q2 24
-44.9%
-18.9%
Q1 24
-107.0%
-23.4%
Capex Intensity
ADAM
ADAM
XTNT
XTNT
Q4 25
18.9%
1.2%
Q3 25
1.3%
Q2 25
1.0%
Q1 25
3.6%
Q4 24
92.3%
2.1%
Q3 24
37.7%
7.5%
Q2 24
39.7%
1.9%
Q1 24
33.5%
2.8%
Cash Conversion
ADAM
ADAM
XTNT
XTNT
Q4 25
2.50×
94.39×
Q3 25
0.15×
3.53×
Q2 25
4.59×
0.36×
Q1 25
0.61×
22.03×
Q4 24
Q3 24
-0.02×
Q2 24
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ADAM
ADAM

Other$19.6M45%
Constructive Loans LLC$14.4M33%
Multifamily$9.1M21%

XTNT
XTNT

Orthobiologics$18.3M57%
Spinal Implant$9.4M29%
License Revenue$4.6M14%

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