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

Neptune Insurance Holdings Inc. is the larger business by last-quarter revenue ($37.8M vs $32.4M, roughly 1.2× Xtant Medical Holdings, Inc.). Xtant Medical Holdings, Inc. runs the higher net margin — 0.2% vs 0.1%, a 0.0% gap on every dollar of revenue. On growth, Neptune Insurance Holdings Inc. posted the faster year-over-year revenue change (28.8% vs 2.7%).

Neptune Insurance Holdings Inc. is a specialty insurance holding company that offers a broad portfolio of property and casualty insurance products, with a core focus on residential and commercial flood insurance for customers across the United States. It serves both individual consumers and small to mid-sized business clients, using advanced data analytics to support accurate policy pricing and robust risk management.

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.

NP vs XTNT — Head-to-Head

Bigger by revenue
NP
NP
1.2× larger
NP
$37.8M
$32.4M
XTNT
Growing faster (revenue YoY)
NP
NP
+26.1% gap
NP
28.8%
2.7%
XTNT
Higher net margin
XTNT
XTNT
0.0% more per $
XTNT
0.2%
0.1%
NP

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
NP
NP
XTNT
XTNT
Revenue
$37.8M
$32.4M
Net Profit
$50.0K
$57.0K
Gross Margin
54.9%
Operating Margin
-2.9%
Net Margin
0.1%
0.2%
Revenue YoY
28.8%
2.7%
Net Profit YoY
0.0%
101.8%
EPS (diluted)
$0.05
$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
NP
NP
XTNT
XTNT
Q1 26
$37.8M
Q4 25
$32.4M
Q3 25
$44.4M
$33.3M
Q2 25
$35.4M
Q1 25
$32.9M
Q4 24
$31.5M
Q3 24
$33.8M
$27.9M
Q2 24
$29.9M
Net Profit
NP
NP
XTNT
XTNT
Q1 26
$50.0K
Q4 25
$57.0K
Q3 25
$11.5M
$1.3M
Q2 25
$3.5M
Q1 25
$58.0K
Q4 24
$-3.2M
Q3 24
$12.1M
$-5.0M
Q2 24
$-3.9M
Gross Margin
NP
NP
XTNT
XTNT
Q1 26
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%
Operating Margin
NP
NP
XTNT
XTNT
Q1 26
Q4 25
-2.9%
Q3 25
46.7%
7.6%
Q2 25
13.1%
Q1 25
3.2%
Q4 24
-6.0%
Q3 24
58.6%
-13.5%
Q2 24
-9.8%
Net Margin
NP
NP
XTNT
XTNT
Q1 26
0.1%
Q4 25
0.2%
Q3 25
25.9%
3.9%
Q2 25
10.0%
Q1 25
0.2%
Q4 24
-10.0%
Q3 24
35.8%
-18.0%
Q2 24
-12.9%
EPS (diluted)
NP
NP
XTNT
XTNT
Q1 26
$0.05
Q4 25
$0.00
Q3 25
$0.06
$0.01
Q2 25
$0.02
Q1 25
$0.00
Q4 24
$-0.02
Q3 24
$0.06
$-0.04
Q2 24
$-0.03

Balance Sheet & Financial Strength

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

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

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
NP
NP
XTNT
XTNT
Q1 26
Q4 25
$17.1M
Q3 25
$12.2M
$10.4M
Q2 25
$6.9M
Q1 25
$5.0M
Q4 24
$6.2M
Q3 24
$6.6M
Q2 24
$5.4M
Total Debt
NP
NP
XTNT
XTNT
Q1 26
Q4 25
$11.0M
Q3 25
$247.6M
$17.4M
Q2 25
$22.3M
Q1 25
$22.2M
Q4 24
$22.0M
Q3 24
$19.1M
Q2 24
$21.8M
Stockholders' Equity
NP
NP
XTNT
XTNT
Q1 26
Q4 25
$51.0M
Q3 25
$-509.5M
$50.4M
Q2 25
$48.5M
Q1 25
$43.9M
Q4 24
$43.0M
Q3 24
$-374.3M
$45.7M
Q2 24
$45.0M
Total Assets
NP
NP
XTNT
XTNT
Q1 26
Q4 25
$94.1M
Q3 25
$89.6M
$106.3M
Q2 25
$103.5M
Q1 25
$95.8M
Q4 24
$93.8M
Q3 24
$98.9M
Q2 24
$95.6M
Debt / Equity
NP
NP
XTNT
XTNT
Q1 26
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×

Cash Flow & Capital Efficiency

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

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

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
NP
NP
XTNT
XTNT
Q1 26
Q4 25
$5.4M
Q3 25
$38.9M
$4.6M
Q2 25
$1.3M
Q1 25
$1.3M
Q4 24
$665.0K
Q3 24
$-1.7M
Q2 24
$-5.1M
Free Cash Flow
NP
NP
XTNT
XTNT
Q1 26
Q4 25
$5.0M
Q3 25
$4.2M
Q2 25
$910.0K
Q1 25
$87.0K
Q4 24
$-7.0K
Q3 24
$-3.8M
Q2 24
$-5.7M
FCF Margin
NP
NP
XTNT
XTNT
Q1 26
Q4 25
15.4%
Q3 25
12.6%
Q2 25
2.6%
Q1 25
0.3%
Q4 24
-0.0%
Q3 24
-13.7%
Q2 24
-18.9%
Capex Intensity
NP
NP
XTNT
XTNT
Q1 26
Q4 25
1.2%
Q3 25
1.3%
Q2 25
1.0%
Q1 25
3.6%
Q4 24
2.1%
Q3 24
7.5%
Q2 24
1.9%
Cash Conversion
NP
NP
XTNT
XTNT
Q1 26
Q4 25
94.39×
Q3 25
3.38×
3.53×
Q2 25
0.36×
Q1 25
22.03×
Q4 24
Q3 24
Q2 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

NP
NP

Segment breakdown not available.

XTNT
XTNT

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

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