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

STEM, INC. is the larger business by last-quarter revenue ($47.1M vs $32.4M, roughly 1.5× Xtant Medical Holdings, Inc.). Xtant Medical Holdings, Inc. runs the higher net margin — 0.2% vs -33.9%, a 34.1% gap on every dollar of revenue. On growth, Xtant Medical Holdings, Inc. posted the faster year-over-year revenue change (2.7% vs -15.6%). Over the past eight quarters, STEM, INC.'s revenue compounded faster (36.1% CAGR vs 7.7%).

StemCells, Inc. is a public biopharmaceutical company headquartered in Newark, California, that is developing purified human neural stem cells (HuCNS-SCs) in the hopes of treating central nervous system disorders and paralysis. StemCells' HuCNS-SCs have the ability to differentiate into the three main types of cells found in the central nervous system: neurons, astrocytes and oligodendrocytes.

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.

STEM vs XTNT — Head-to-Head

Bigger by revenue
STEM
STEM
1.5× larger
STEM
$47.1M
$32.4M
XTNT
Growing faster (revenue YoY)
XTNT
XTNT
+18.2% gap
XTNT
2.7%
-15.6%
STEM
Higher net margin
XTNT
XTNT
34.1% more per $
XTNT
0.2%
-33.9%
STEM
Faster 2-yr revenue CAGR
STEM
STEM
Annualised
STEM
36.1%
7.7%
XTNT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
STEM
STEM
XTNT
XTNT
Revenue
$47.1M
$32.4M
Net Profit
$-16.0M
$57.0K
Gross Margin
48.9%
54.9%
Operating Margin
-17.7%
-2.9%
Net Margin
-33.9%
0.2%
Revenue YoY
-15.6%
2.7%
Net Profit YoY
68.8%
101.8%
EPS (diluted)
$-4.40
$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
STEM
STEM
XTNT
XTNT
Q4 25
$47.1M
$32.4M
Q3 25
$38.2M
$33.3M
Q2 25
$38.4M
$35.4M
Q1 25
$32.5M
$32.9M
Q4 24
$55.8M
$31.5M
Q3 24
$29.3M
$27.9M
Q2 24
$34.0M
$29.9M
Q1 24
$25.5M
$27.9M
Net Profit
STEM
STEM
XTNT
XTNT
Q4 25
$-16.0M
$57.0K
Q3 25
$-23.8M
$1.3M
Q2 25
$202.5M
$3.5M
Q1 25
$-25.0M
$58.0K
Q4 24
$-51.1M
$-3.2M
Q3 24
$-148.3M
$-5.0M
Q2 24
$-582.3M
$-3.9M
Q1 24
$-72.3M
$-4.4M
Gross Margin
STEM
STEM
XTNT
XTNT
Q4 25
48.9%
54.9%
Q3 25
35.5%
66.1%
Q2 25
33.4%
68.6%
Q1 25
32.4%
61.5%
Q4 24
-4.4%
50.9%
Q3 24
21.2%
58.4%
Q2 24
27.6%
62.1%
Q1 24
-95.0%
62.1%
Operating Margin
STEM
STEM
XTNT
XTNT
Q4 25
-17.7%
-2.9%
Q3 25
-33.6%
7.6%
Q2 25
-34.8%
13.1%
Q1 25
-65.0%
3.2%
Q4 24
-84.4%
-6.0%
Q3 24
-493.2%
-13.5%
Q2 24
-1705.5%
-9.8%
Q1 24
-267.0%
-12.4%
Net Margin
STEM
STEM
XTNT
XTNT
Q4 25
-33.9%
0.2%
Q3 25
-62.2%
3.9%
Q2 25
527.8%
10.0%
Q1 25
-76.9%
0.2%
Q4 24
-91.6%
-10.0%
Q3 24
-506.3%
-18.0%
Q2 24
-1712.6%
-12.9%
Q1 24
-283.9%
-15.8%
EPS (diluted)
STEM
STEM
XTNT
XTNT
Q4 25
$-4.40
$0.00
Q3 25
$-2.84
$0.01
Q2 25
$-1.79
$0.02
Q1 25
$-0.15
$0.00
Q4 24
$-15.29
$-0.02
Q3 24
$-18.24
$-0.04
Q2 24
$-71.81
$-0.03
Q1 24
$-0.46
$-0.03

Balance Sheet & Financial Strength

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

Metric
STEM
STEM
XTNT
XTNT
Cash + ST InvestmentsLiquidity on hand
$48.9M
$17.1M
Total DebtLower is stronger
$11.0M
Stockholders' EquityBook value
$-249.4M
$51.0M
Total Assets
$308.9M
$94.1M
Debt / EquityLower = less leverage
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
STEM
STEM
XTNT
XTNT
Q4 25
$48.9M
$17.1M
Q3 25
$43.1M
$10.4M
Q2 25
$40.8M
$6.9M
Q1 25
$58.6M
$5.0M
Q4 24
$56.3M
$6.2M
Q3 24
$75.4M
$6.6M
Q2 24
$89.6M
$5.4M
Q1 24
$112.8M
$4.5M
Total Debt
STEM
STEM
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
STEM
STEM
XTNT
XTNT
Q4 25
$-249.4M
$51.0M
Q3 25
$-235.7M
$50.4M
Q2 25
$-214.1M
$48.5M
Q1 25
$-417.5M
$43.9M
Q4 24
$-398.4M
$43.0M
Q3 24
$-344.1M
$45.7M
Q2 24
$-203.2M
$45.0M
Q1 24
$371.6M
$47.7M
Total Assets
STEM
STEM
XTNT
XTNT
Q4 25
$308.9M
$94.1M
Q3 25
$362.6M
$106.3M
Q2 25
$379.2M
$103.5M
Q1 25
$405.1M
$95.8M
Q4 24
$437.4M
$93.8M
Q3 24
$537.8M
$98.9M
Q2 24
$691.5M
$95.6M
Q1 24
$1.3B
$93.9M
Debt / Equity
STEM
STEM
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
STEM
STEM
XTNT
XTNT
Operating Cash FlowLast quarter
$8.2M
$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
STEM
STEM
XTNT
XTNT
Q4 25
$8.2M
$5.4M
Q3 25
$11.4M
$4.6M
Q2 25
$-21.3M
$1.3M
Q1 25
$8.5M
$1.3M
Q4 24
$-14.7M
$665.0K
Q3 24
$-9.4M
$-1.7M
Q2 24
$-11.9M
$-5.1M
Q1 24
$-621.0K
$-5.8M
Free Cash Flow
STEM
STEM
XTNT
XTNT
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
Q1 24
$-6.5M
FCF Margin
STEM
STEM
XTNT
XTNT
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%
Q1 24
-23.4%
Capex Intensity
STEM
STEM
XTNT
XTNT
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%
Q1 24
2.8%
Cash Conversion
STEM
STEM
XTNT
XTNT
Q4 25
94.39×
Q3 25
3.53×
Q2 25
-0.11×
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

STEM
STEM

Segment breakdown not available.

XTNT
XTNT

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

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