Exhibit 99.1




Xtant Medical Announces First Quarter 2019 Financial Results


BELGRADE, MT, May 15, 2019 – Xtant Medical Holdings, Inc. (NYSE American: XTNT), a global medical technology company focused on surgical solutions for the treatment of spinal disorders, today reported financial and operating results for the first quarter ended March 31, 2019.


First Quarter 2019 Financial Highlights:


  Revenue for the first quarter of 2019 was $16.7 million, compared to $17.9 million for the same prior year period
  Operating expenses in the first quarter of 2019 were $11.5 million, compared to $13.9 million for the same prior year period
  Net loss incurred in the first quarter of 2019 was $2.8 million, compared to a net loss of $5.3 million for the same prior year period
  Non-GAAP Adjusted EBITDA for the first quarter of 2019 was $1.0 million, compared to $1.2 million for the same prior year period


Greg Jensen, VP, Finance and Interim CFO of Xtant Medical, said, “The first quarter of 2019 was a period of significant progress for Xtant, as we continue to position the company for renewed growth. Our solid execution resulted in a significant reduction in the company’s net loss and generated a positive year-over-year cash flow from operations, enabling us to invest further in our operations. These investments include key personnel hires to expand our sales capabilities and continue to improve the efficiency of our operations. Further boosted by OrbiMed’s recent commitment for an additional $10 million in debt capital, we have strengthened our capital structure, enhanced our financial flexibility and continued to build a strong foundation on which to pursue our growth and value-creating objectives.”


First Quarter 2019 Financial Results


First quarter 2019 revenue was $16.7 million, compared to $17.9 million for the same period in 2018. The decrease occurred primarily due to lower sales in the spinal hardware implant product line.


Gross margin for the first quarter of 2019 was 64.6%, compared to 68.2% for the same period in 2018. The year-over-year decrease was attributed primarily to inventory reserves and manufacturing overhead absorption.


Operating expenses for the first quarter of 2019 were $11.5 million, compared to $13.9 million for the first quarter of 2018. The decrease was primarily attributable to lower sales commissions and travel expenses, as well as a decrease in amortization expense related to the impairment of intangible assets that occurred in the fourth quarter of 2018.


First quarter 2019 net loss was $2.8 million, or $0.21 per share, compared to first quarter 2018 net loss of $5.3 million, or $0.70 per share.


Non-GAAP Adjusted EBITDA for the first quarter of 2019 was $1.0 million compared to $1.2 million for the same period of 2018. The Company defines Adjusted EBITDA as net income/loss from operations before depreciation, amortization and interest expense, and as further adjusted to add back in or exclude, as applicable, non-cash special charges, provision for losses on inventory and accounts receivable, non-cash compensation, change in warrant derivative liability, separation related expenses, litigation reserve, facility consolidation costs and restructuring expenses. A calculation and reconciliation of non-GAAP Adjusted EBITDA to net loss can be found in the attached financial tables.




Conference Call


Xtant Medical will host a webcast and conference call to discuss the first quarter 2019 financial results on Wednesday, May 15, 2019 at 9:00 AM ET. To access the webcast, Click Here. To access the conference call, dial 877-407-6184 within the U.S. or 201-389-0877 outside the U.S. A replay of the call will be available at www.xtantmedical.com, under “Investor Info.”


About Xtant Medical Holdings, Inc.


Xtant Medical Holdings, Inc. (www.xtantmedical.com) is a global medical technology company focused on the design, development, and commercialization of a comprehensive portfolio of orthobiologics and spinal implant systems to facilitate spinal fusion in complex spine, deformity and degenerative procedures. Xtant people are dedicated and talented, operating with the highest integrity to serve our customers.


The symbols ™ and ® denote trademarks and registered trademarks of Xtant Medical Holdings, Inc. or its affiliates, registered as indicated in the United States, and in other countries. All other trademarks and trade names referred to in this release are the property of their respective owners.


Non-GAAP Financial Measures


To supplement the Company’s consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (GAAP), the Company uses certain non-GAAP financial measures in this release, including Adjusted EBITDA. Reconciliations of the non-GAAP financial measures used in this release to the most comparable GAAP measures for the respective periods can be found in tables later in this release. The Company’s management believes that the presentation of these measures provides useful information to investors. These measures may assist investors in evaluating the Company’s operations, period over period. Management uses the non-GAAP measures in this release internally for evaluation of the performance of the business, including the allocation of resources. Investors should consider non-GAAP financial measures only as a supplement to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP.


Important Cautions Regarding Forward-looking Statements


This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as ‘‘expects,’’ ‘‘anticipates,’’ ‘‘intends,’’ ‘‘plans,’’ ‘‘believes,’’ ‘‘estimates,’’ “continue,” “future,” ‘‘will,’’ “potential” similar expressions or the negative thereof, and the use of future dates. The Company cautions that its forward-looking statements by their nature involve risks and uncertainties, and actual results may differ materially depending on a variety of important factors, including, among others: the Company’s future operating results and financial performance; the ability to increase or maintain revenue; the ability to remain competitive; the ability to innovate and develop new products; the effect of recent management changes and the ability to engage and retain qualified personnel; government and third-party coverage and reimbursement for Company products; the ability to obtain and maintain regulatory approvals and comply with government regulations; the effect of product liability claims and other litigation to which the Company may be subject; the effect of product recalls and defects; timing and results of clinical studies; the ability to obtain and protect Company intellectual property and proprietary rights and operate without infringing the rights of others; the ability to service Company debt and comply with debt covenants; the ability to raise additional financing and other factors. Additional risk factors are contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018 filed with the Securities and Exchange Commission (SEC) on April 1, 2019 and subsequent SEC filings by the Company, including without limitation its most recent Quarterly Report on Form 10-Q for the quarter ended March 31, 2019 anticipated to be filed with the SEC. Investors are encouraged to read the Company’s filings with the SEC, available at www.sec.gov, for a discussion of these and other risks and uncertainties. The Company undertakes no obligation to release publicly any revisions to any forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events, except as required by law. All forward-looking statements attributable to the Company or persons acting on its behalf are expressly qualified in their entirety by this cautionary statement.


Investor Relations Contact


David Carey

Lazar Partners Ltd.

Ph: 212-867-1762

Email: dcarey@lazarpartners.com





Condensed Consolidated Balance Sheets

(In thousands, except number of shares and par value)



As of

March 31, 2019


As of

December 31, 2018

Current Assets:          
Cash and cash equivalents  $7,097   $6,797 
Trade accounts receivable, net of allowance for doubtful accounts of $2,161 and $2,140, respectively   9,493    9,990 
Inventories, net   16,526    17,301 
Prepaid and other current assets   464    589 
Total current assets   33,580    34,677 
Property and equipment, net   6,382    7,174 
Right-of-use asset, net   2,568     
Goodwill   3,205    3,205 
Intangible assets, net   558    573 
Other assets   772    793 
Total Assets  $47,065   $46,422 
Current Liabilities:          
Accounts payable  $6,036   $6,465 
Accrued liabilities   4,429    5,150 
Warrant derivative liability   25    10 
Current portion of lease liability   374     
Current portion of financing lease obligations   388    426 
Total current liabilities   11,252    12,051 
Long-term Liabilities:          
Lease liability   2,194     
Financing lease obligation, less current portion   138    204 
Long-term debt, less issuance costs   72,657    77,939 
Total Liabilities   86,241    90,194 
Stockholders’ Equity (Deficit):          
Preferred stock, $0.000001 par value; 10,000,000 shares authorized; no shares issued and outstanding        
Common stock, $0.000001 par value; 50,000,000 shares authorized; 13,161,762 shares issued and outstanding as of March 31, 2019 and 13,172,179 shares issued and outstanding as of December 31, 2018        
Additional paid-in capital   178,668    171,273 
Accumulated deficit   (217,844)   (215,045)
Total Stockholders’ Equity (Deficit)   (39,176)   (43,772)
Total Liabilities & Stockholders’ Equity (Deficit)  $47,065   $46,422 





Condensed Consolidated Statements of Operations

(Unaudited, in thousands, except number of shares and per share amounts)


   Three Months Ended
March 31,
   2019   2018 
Orthopedic product sales  $16,686   $17,830 
Other revenue   40    104 
Total Revenue   16,726    17,934 
Cost of sales   5,913    5,702 
Gross Profit   10,813    12,232 
Gross Profit %   64.6%   68.2%
Operating Expenses          
General and administrative   4,196    3,025 
Sales and marketing   6,742    8,349 
Research and development   262    414 
Depreciation and amortization   159    1,004 
Restructuring expenses       733 
Non-cash compensation expense   122    364 
Total Operating Expenses   11,481    13,889 
Loss from Operations   (668)   (1,657)
Other (Expense) Income          
Interest expense   (2,018)   (3,545)
Change in warrant derivative liability   (15)   (38)
Other (expense) income   (75)   (13)
Total Other (Expense)   (2,108)   (3,596)
Provision for income taxes          
Current and deferred   (23)    
Net Loss  $(2,799)  $(5,253)
Net loss per share:          
Basic   (0.21)   (0.70)
Dilutive  $(0.21)  $(0.70)
Shares used in the computation:          
Basic   13,170,721    7,481,550 
Dilutive   13,170,721    7,481,550 





Condensed Consolidated Statements of Cash Flows

(Unaudited, in thousands)


   Three Months Ended
March 31,
   2019   2018 
Operating activities:          
Net loss  $(2,799)  $(5,253)
Adjustments to reconcile net loss to net cash provided by operating activities:          
Depreciation and amortization   776    1,586 
Loss/(gain) on disposal of fixed assets   116    (23)
Non-cash interest   1,991    3,446 
Non-cash consulting expense/stock option expense   122    364 
Provision for losses on accounts receivable and inventory   247    39 
Change in derivative warrant liability   15    38 
Changes in operating assets and liabilities:          
Accounts receivable   403    2,290 
Inventories   623    (182)
Prepaid and other assets   146    660 
Accounts payable   (429)   (1,884)
Accrued liabilities   (721)   (845)
Net cash provided by operating activities   490    236 
Investing activities:          
Purchases of property and equipment and intangible assets   (137)   (132)
Proceeds from sale of fixed assets   51     
Net cash used in investing activities   (86)   (132)
Financing activities:          
Payments on financing leases   (104)   (79)
Expense associated with private placement and convertible debt conversion/exchange       (3,519)
Proceeds from issuance of stock       6,810 
Net cash (used in) provided by financing activities   (104)   3,212 
Net change in cash and cash equivalents   300    3,316 
Cash and cash equivalents at beginning of period   6,797    2,856 
Cash and cash equivalents at end of period  $7,097   $6,172 






(Unaudited, in thousands)


   Three Months Ended March 31, 
   2019   2018 
Net Loss  $ (2,799)   $ (5,253)
Other expense   75    13 
Depreciation and amortization   776    1,586 
Interest expense   2,018    3,545 
Tax expense   23    - 
Non-GAAP EBITDA gain (loss)   93    (109)
Non-GAAP EBITDA/Total revenue   0.6%   -0.6%
Provision for losses on AR and inventory   247    39 
Non-cash compensation   122    364 
Change in warrant derivative liability   15    38 
Litigation reserve   530    - 
Dayton transition costs   -    113 
Restructuring expenses   -    733 
Non-GAAP Adjusted EBITDA gain (loss)  $1,007   $1,178 
Non-GAAP EBITDA/Total revenue   6.0%   6.6%




The following information was filed by Xtant Medical Holdings, Inc. (XTNT) on Wednesday, May 15, 2019 as an 8K 2.02 statement, which is an earnings press release pertaining to results of operations and financial condition. It may be helpful to assess the quality of management by comparing the information in the press release to the information in the accompanying 10-Q Quarterly Report statement of earnings and operation as management may choose to highlight particular information in the press release.

View differences made from one quarter to another to evaluate Xtant Medical Holdings, Inc.'s financial trajectory

Compare SEC Filings Year-over-Year (YoY) and Quarter-over-Quarter (QoQ)
Sample 10-K Year-over-Year (YoY) Comparison

Compare this 10-Q Quarterly Report to its predecessor by reading our highlights to see what text and tables were  removed  ,   added    and   changed   by Xtant Medical Holdings, Inc..


Never Miss A New SEC Filing Again

Real-Time SEC Filing Notifications
Screenshot taken from Gmail for a new 10-K Annual Report
Last10K.com Member Feature

Receive an e-mail as soon as a company files an Annual Report, Quarterly Report or has new 8-K corporate news.


We Highlighted This SEC Filing For You

SEC Filing Sentiment Analysis - Bullish, Bearish, Neutral
Screenshot taken from Wynn's 2018 10-K Annual Report
Last10K.com Member Feature

Read positive and negative remarks made by management in their entirety without having to find them in a 10-K/Q.


Widen Your SEC Filing Reading Experience

Increased Reading Area for SEC Filings
Screenshot taken from Adobe Inc.'s 10-Q Quarterly Report
Last10K.com Member Feature

Remove data columns and navigations in order to see much more filing content and tables in one view


Uncover Actionable Information Inside SEC Filings

SEC Filing Disclosures
Screenshot taken from Lumber Liquidators 10-K Annual Report
Last10K.com Member Feature

Read both hidden opportunities and early signs of potential problems without having to find them in a 10-K/Q


Adobe PDF, Microsoft Word and Excel Downloads

Download Annual and Quarterly Reports as PDF, Word and Excel Documents
Screenshots of actual 10-K and 10-Q SEC Filings in PDF, Word and Excel formats
Last10K.com Member Feature

Export Annual and Quarterly Reports to Adobe PDF, Microsoft Word and Excel for offline viewing, annotations and analysis


FREE Financial Statements

Download Annual and Quarterly Reports as PDF, Word and Excel Documents
Screenshot of actual balance sheet from company 10-K Annual Report
Last10K.com Member Feature

Get one-click access to balance sheets, income, operations and cash flow statements without having to find them in Annual and Quarterly Reports

Continue for FREE

Intrinsic Value Calculator

Intrinsic Value Calculator
Screenshot of intrinsic value for AT&T (2019)
Last10K.com Member Feature

Our Intrinsic Value calculator estimates what an entire company is worth using up to 10 years of financial ratios to determine if a stock is overvalued or not


Financial Stability Report

Financial Stability Report
Screenshot of financial stability report for Coco-Cola (2019)
Last10K.com Member Feature

Our Financial Stability reports uses up to 10 years of financial ratios to determine the health of a company's EPS, Dividends, Book Value, Return on Equity, Current Ratio and Debt-to-Equity


Get a Better Picture of a Company's Performance

Financial Ratios
Available Financial Ratios
Last10K.com Member Feature

See how over 70 Growth, Profitability and Financial Ratios perform over 10 Years


Log in with your credentials


Forgot your details?

Create Account