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Side-by-side financial comparison of CITIZENS FINANCIAL SERVICES INC (CZFS) 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 $29.6M, roughly 1.1× CITIZENS FINANCIAL SERVICES INC). CITIZENS FINANCIAL SERVICES INC runs the higher net margin — 35.4% vs 0.2%, a 35.2% gap on every dollar of revenue. On growth, CITIZENS FINANCIAL SERVICES INC posted the faster year-over-year revenue change (13.0% vs 2.7%). CITIZENS FINANCIAL SERVICES INC produced more free cash flow last quarter ($35.2M vs $5.0M). Over the past eight quarters, Xtant Medical Holdings, Inc.'s revenue compounded faster (7.7% CAGR vs 6.9%).

Citizens Financial Group, Inc. is an American bank holding company, headquartered in Providence, Rhode Island. The company owns the bank Citizens Bank, N.A., which operates in the U.S. states of Connecticut, Delaware, Florida, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, and Virginia, as well as Washington, DC.

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.

CZFS vs XTNT — Head-to-Head

Bigger by revenue
XTNT
XTNT
1.1× larger
XTNT
$32.4M
$29.6M
CZFS
Growing faster (revenue YoY)
CZFS
CZFS
+10.3% gap
CZFS
13.0%
2.7%
XTNT
Higher net margin
CZFS
CZFS
35.2% more per $
CZFS
35.4%
0.2%
XTNT
More free cash flow
CZFS
CZFS
$30.3M more FCF
CZFS
$35.2M
$5.0M
XTNT
Faster 2-yr revenue CAGR
XTNT
XTNT
Annualised
XTNT
7.7%
6.9%
CZFS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
CZFS
CZFS
XTNT
XTNT
Revenue
$29.6M
$32.4M
Net Profit
$10.5M
$57.0K
Gross Margin
54.9%
Operating Margin
44.2%
-2.9%
Net Margin
35.4%
0.2%
Revenue YoY
13.0%
2.7%
Net Profit YoY
31.3%
101.8%
EPS (diluted)
$2.17
$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
CZFS
CZFS
XTNT
XTNT
Q4 25
$29.6M
$32.4M
Q3 25
$29.0M
$33.3M
Q2 25
$27.3M
$35.4M
Q1 25
$26.4M
$32.9M
Q4 24
$26.2M
$31.5M
Q3 24
$25.1M
$27.9M
Q2 24
$24.6M
$29.9M
Q1 24
$25.9M
$27.9M
Net Profit
CZFS
CZFS
XTNT
XTNT
Q4 25
$10.5M
$57.0K
Q3 25
$10.0M
$1.3M
Q2 25
$8.5M
$3.5M
Q1 25
$7.6M
$58.0K
Q4 24
$8.0M
$-3.2M
Q3 24
$7.5M
$-5.0M
Q2 24
$5.3M
$-3.9M
Q1 24
$7.0M
$-4.4M
Gross Margin
CZFS
CZFS
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
CZFS
CZFS
XTNT
XTNT
Q4 25
44.2%
-2.9%
Q3 25
42.6%
7.6%
Q2 25
38.1%
13.1%
Q1 25
35.5%
3.2%
Q4 24
37.2%
-6.0%
Q3 24
36.9%
-13.5%
Q2 24
25.9%
-9.8%
Q1 24
32.8%
-12.4%
Net Margin
CZFS
CZFS
XTNT
XTNT
Q4 25
35.4%
0.2%
Q3 25
34.5%
3.9%
Q2 25
31.0%
10.0%
Q1 25
28.8%
0.2%
Q4 24
30.5%
-10.0%
Q3 24
30.0%
-18.0%
Q2 24
21.4%
-12.9%
Q1 24
27.1%
-15.8%
EPS (diluted)
CZFS
CZFS
XTNT
XTNT
Q4 25
$2.17
$0.00
Q3 25
$2.09
$0.01
Q2 25
$1.76
$0.02
Q1 25
$1.60
$0.00
Q4 24
$1.64
$-0.02
Q3 24
$1.57
$-0.04
Q2 24
$1.10
$-0.03
Q1 24
$1.48
$-0.03

Balance Sheet & Financial Strength

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

Metric
CZFS
CZFS
XTNT
XTNT
Cash + ST InvestmentsLiquidity on hand
$34.3M
$17.1M
Total DebtLower is stronger
$11.0M
Stockholders' EquityBook value
$338.1M
$51.0M
Total Assets
$3.1B
$94.1M
Debt / EquityLower = less leverage
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CZFS
CZFS
XTNT
XTNT
Q4 25
$34.3M
$17.1M
Q3 25
$31.1M
$10.4M
Q2 25
$49.5M
$6.9M
Q1 25
$36.8M
$5.0M
Q4 24
$42.2M
$6.2M
Q3 24
$36.8M
$6.6M
Q2 24
$38.4M
$5.4M
Q1 24
$29.6M
$4.5M
Total Debt
CZFS
CZFS
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
CZFS
CZFS
XTNT
XTNT
Q4 25
$338.1M
$51.0M
Q3 25
$327.7M
$50.4M
Q2 25
$313.7M
$48.5M
Q1 25
$308.3M
$43.9M
Q4 24
$299.7M
$43.0M
Q3 24
$298.7M
$45.7M
Q2 24
$286.5M
$45.0M
Q1 24
$282.7M
$47.7M
Total Assets
CZFS
CZFS
XTNT
XTNT
Q4 25
$3.1B
$94.1M
Q3 25
$3.1B
$106.3M
Q2 25
$3.0B
$103.5M
Q1 25
$3.0B
$95.8M
Q4 24
$3.0B
$93.8M
Q3 24
$3.0B
$98.9M
Q2 24
$2.9B
$95.6M
Q1 24
$2.9B
$93.9M
Debt / Equity
CZFS
CZFS
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
CZFS
CZFS
XTNT
XTNT
Operating Cash FlowLast quarter
$36.5M
$5.4M
Free Cash FlowOCF − Capex
$35.2M
$5.0M
FCF MarginFCF / Revenue
119.0%
15.4%
Capex IntensityCapex / Revenue
4.4%
1.2%
Cash ConversionOCF / Net Profit
3.49×
94.39×
TTM Free Cash FlowTrailing 4 quarters
$53.8M
$10.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
CZFS
CZFS
XTNT
XTNT
Q4 25
$36.5M
$5.4M
Q3 25
$2.9M
$4.6M
Q2 25
$6.0M
$1.3M
Q1 25
$10.9M
$1.3M
Q4 24
$33.2M
$665.0K
Q3 24
$6.2M
$-1.7M
Q2 24
$3.0M
$-5.1M
Q1 24
$13.5M
$-5.8M
Free Cash Flow
CZFS
CZFS
XTNT
XTNT
Q4 25
$35.2M
$5.0M
Q3 25
$2.7M
$4.2M
Q2 25
$5.5M
$910.0K
Q1 25
$10.4M
$87.0K
Q4 24
$31.9M
$-7.0K
Q3 24
$5.6M
$-3.8M
Q2 24
$2.9M
$-5.7M
Q1 24
$13.4M
$-6.5M
FCF Margin
CZFS
CZFS
XTNT
XTNT
Q4 25
119.0%
15.4%
Q3 25
9.4%
12.6%
Q2 25
20.1%
2.6%
Q1 25
39.2%
0.3%
Q4 24
121.6%
-0.0%
Q3 24
22.3%
-13.7%
Q2 24
11.8%
-18.9%
Q1 24
51.5%
-23.4%
Capex Intensity
CZFS
CZFS
XTNT
XTNT
Q4 25
4.4%
1.2%
Q3 25
0.5%
1.3%
Q2 25
1.8%
1.0%
Q1 25
2.2%
3.6%
Q4 24
5.0%
2.1%
Q3 24
2.5%
7.5%
Q2 24
0.5%
1.9%
Q1 24
0.4%
2.8%
Cash Conversion
CZFS
CZFS
XTNT
XTNT
Q4 25
3.49×
94.39×
Q3 25
0.29×
3.53×
Q2 25
0.71×
0.36×
Q1 25
1.44×
22.03×
Q4 24
4.16×
Q3 24
0.83×
Q2 24
0.57×
Q1 24
1.92×

Financial Flow Comparison

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

Revenue Breakdown by Segment

CZFS
CZFS

Segment breakdown not available.

XTNT
XTNT

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

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