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Side-by-side financial comparison of CoastalSouth Bancshares, Inc. (COSO) and Xtant Medical Holdings, Inc. (XTNT). Click either name above to swap in a different company.

Xtant Medical Holdings, Inc. is the larger business by last-quarter revenue ($32.4M vs $21.3M, roughly 1.5× CoastalSouth Bancshares, Inc.). CoastalSouth Bancshares, Inc. runs the higher net margin — 31.7% vs 0.2%, a 31.5% gap on every dollar of revenue. Xtant Medical Holdings, Inc. produced more free cash flow last quarter ($5.0M vs $-5.9M).

CoastalSouth Bancshares, Inc. is a U.S.-based regional bank holding company. It provides a full range of personal and commercial banking services including deposit accounts, consumer loans, mortgages, commercial financing and wealth management solutions for retail customers and small-to-medium enterprises across the U.S. Gulf Coast region.

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.

COSO vs XTNT — Head-to-Head

Bigger by revenue
XTNT
XTNT
1.5× larger
XTNT
$32.4M
$21.3M
COSO
Higher net margin
COSO
COSO
31.5% more per $
COSO
31.7%
0.2%
XTNT
More free cash flow
XTNT
XTNT
$10.9M more FCF
XTNT
$5.0M
$-5.9M
COSO

Income Statement — Q3 FY2025 vs Q4 FY2025

Metric
COSO
COSO
XTNT
XTNT
Revenue
$21.3M
$32.4M
Net Profit
$6.7M
$57.0K
Gross Margin
54.9%
Operating Margin
41.2%
-2.9%
Net Margin
31.7%
0.2%
Revenue YoY
2.7%
Net Profit YoY
101.8%
EPS (diluted)
$0.54
$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
COSO
COSO
XTNT
XTNT
Q4 25
$32.4M
Q3 25
$21.3M
$33.3M
Q2 25
$19.9M
$35.4M
Q1 25
$32.9M
Q4 24
$31.5M
Q3 24
$27.9M
Q2 24
$29.9M
Q1 24
$27.9M
Net Profit
COSO
COSO
XTNT
XTNT
Q4 25
$57.0K
Q3 25
$6.7M
$1.3M
Q2 25
$6.0M
$3.5M
Q1 25
$58.0K
Q4 24
$-3.2M
Q3 24
$-5.0M
Q2 24
$-3.9M
Q1 24
$-4.4M
Gross Margin
COSO
COSO
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
COSO
COSO
XTNT
XTNT
Q4 25
-2.9%
Q3 25
41.2%
7.6%
Q2 25
35.4%
13.1%
Q1 25
3.2%
Q4 24
-6.0%
Q3 24
-13.5%
Q2 24
-9.8%
Q1 24
-12.4%
Net Margin
COSO
COSO
XTNT
XTNT
Q4 25
0.2%
Q3 25
31.7%
3.9%
Q2 25
30.0%
10.0%
Q1 25
0.2%
Q4 24
-10.0%
Q3 24
-18.0%
Q2 24
-12.9%
Q1 24
-15.8%
EPS (diluted)
COSO
COSO
XTNT
XTNT
Q4 25
$0.00
Q3 25
$0.54
$0.01
Q2 25
$0.57
$0.02
Q1 25
$0.00
Q4 24
$-0.02
Q3 24
$-0.04
Q2 24
$-0.03
Q1 24
$-0.03

Balance Sheet & Financial Strength

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

Metric
COSO
COSO
XTNT
XTNT
Cash + ST InvestmentsLiquidity on hand
$17.1M
Total DebtLower is stronger
$11.0M
Stockholders' EquityBook value
$250.4M
$51.0M
Total Assets
$2.3B
$94.1M
Debt / EquityLower = less leverage
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
COSO
COSO
XTNT
XTNT
Q4 25
$17.1M
Q3 25
$10.4M
Q2 25
$6.9M
Q1 25
$5.0M
Q4 24
$6.2M
Q3 24
$6.6M
Q2 24
$5.4M
Q1 24
$4.5M
Total Debt
COSO
COSO
XTNT
XTNT
Q4 25
$11.0M
Q3 25
$17.4M
Q2 25
$22.3M
Q1 25
$22.2M
Q4 24
$22.0M
Q3 24
$19.1M
Q2 24
$21.8M
Q1 24
$16.8M
Stockholders' Equity
COSO
COSO
XTNT
XTNT
Q4 25
$51.0M
Q3 25
$250.4M
$50.4M
Q2 25
$209.4M
$48.5M
Q1 25
$43.9M
Q4 24
$43.0M
Q3 24
$45.7M
Q2 24
$45.0M
Q1 24
$47.7M
Total Assets
COSO
COSO
XTNT
XTNT
Q4 25
$94.1M
Q3 25
$2.3B
$106.3M
Q2 25
$2.2B
$103.5M
Q1 25
$95.8M
Q4 24
$93.8M
Q3 24
$98.9M
Q2 24
$95.6M
Q1 24
$93.9M
Debt / Equity
COSO
COSO
XTNT
XTNT
Q4 25
0.22×
Q3 25
0.35×
Q2 25
0.46×
Q1 25
0.51×
Q4 24
0.51×
Q3 24
0.42×
Q2 24
0.48×
Q1 24
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
COSO
COSO
XTNT
XTNT
Operating Cash FlowLast quarter
$-5.5M
$5.4M
Free Cash FlowOCF − Capex
$-5.9M
$5.0M
FCF MarginFCF / Revenue
-27.7%
15.4%
Capex IntensityCapex / Revenue
1.9%
1.2%
Cash ConversionOCF / Net Profit
-0.82×
94.39×
TTM Free Cash FlowTrailing 4 quarters
$10.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
COSO
COSO
XTNT
XTNT
Q4 25
$5.4M
Q3 25
$-5.5M
$4.6M
Q2 25
$-16.8M
$1.3M
Q1 25
$1.3M
Q4 24
$665.0K
Q3 24
$-1.7M
Q2 24
$-5.1M
Q1 24
$-5.8M
Free Cash Flow
COSO
COSO
XTNT
XTNT
Q4 25
$5.0M
Q3 25
$-5.9M
$4.2M
Q2 25
$-17.9M
$910.0K
Q1 25
$87.0K
Q4 24
$-7.0K
Q3 24
$-3.8M
Q2 24
$-5.7M
Q1 24
$-6.5M
FCF Margin
COSO
COSO
XTNT
XTNT
Q4 25
15.4%
Q3 25
-27.7%
12.6%
Q2 25
-90.3%
2.6%
Q1 25
0.3%
Q4 24
-0.0%
Q3 24
-13.7%
Q2 24
-18.9%
Q1 24
-23.4%
Capex Intensity
COSO
COSO
XTNT
XTNT
Q4 25
1.2%
Q3 25
1.9%
1.3%
Q2 25
5.5%
1.0%
Q1 25
3.6%
Q4 24
2.1%
Q3 24
7.5%
Q2 24
1.9%
Q1 24
2.8%
Cash Conversion
COSO
COSO
XTNT
XTNT
Q4 25
94.39×
Q3 25
-0.82×
3.53×
Q2 25
-2.82×
0.36×
Q1 25
22.03×
Q4 24
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

COSO
COSO

Segment breakdown not available.

XTNT
XTNT

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

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