Xtant Medical Holdings (FRA:XMS) Cyclically Adjusted Book per Share: €-2.97 (As of Mar. 2026)


FRA:XMS Xtant Medical Holdings Inc FRA:XMS
31 GF Score
Price €0.37
GF Value €0.54
! 4 Warning Signs
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What is Xtant Medical Holdings Cyclically Adjusted Book per Share?

Xtant Medical Holdings FRA:XMS +1.10% 31 Cyclically Adjusted Book per Share is €-2.97 as of Mar. 2026. GuruFocus rates FRA:XMS with a GF Score™ of 31/100 and a GF Value™ of €0.54. The stock has 4 warning signs investors should review.

E10 is a concept invented by Prof. Robert Shiller, who uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted Book per Share and the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted Book Value per Share of a company over the past 10 years.

Xtant Medical Holdings's adjusted book value per share for the three months ended in Mar. 2026 was €0.300. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is €-2.97 for the trailing ten years ended in Mar. 2026.

During the past 3 years, the average Cyclically Adjusted Book Growth Rate was 14.60% per year. During the past 5 years, the average Cyclically Adjusted Book Growth Rate was -53.20% per year. Please click Growth Rate Calculation Example (GuruFocus) to see how GuruFocus calculates Wal-Mart Stores Inc (WMT)'s revenue growth rate. You can apply the same method to get the Cyclically Adjusted Book Growth Rate using Cyclically Adjusted Book per Share data.

During the past 13 years, the highest 3-Year average Cyclically Adjusted Book Growth Rate of Xtant Medical Holdings was 14.60% per year. The lowest was -192.70% per year. And the median was -16.70% per year.

As of today (2026-07-01), Xtant Medical Holdings's current stock price is €0.366. Xtant Medical Holdings's Cyclically Adjusted Book per Share for the quarter that ended in Mar. 2026 was €-2.97. Xtant Medical Holdings's Cyclically Adjusted PB Ratio of today is .

During the past 13 years, the highest Cyclically Adjusted PB Ratio of Xtant Medical Holdings was 2.00. The lowest was 0.21. And the median was 0.38.


Xtant Medical Holdings  (FRA:XMS) Cyclically Adjusted Book per Share Explanation

If a company grows much fast than inflation, Cyclically Adjusted Book per Share may underestimate the company's equity. Cyclically Adjusted PB Ratio can seem to be too high even the actual PB Ratio is low.

For the Cyclically Adjusted PB Ratio, the book value of the past 10 years are inflation-adjusted and averaged. The result is used for P/B calculation. Since it looks at the average over the last 10 years, the Cyclically Adjusted PB Ratio is also called CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.

During the past 13 years, the highest Cyclically Adjusted PB Ratio of Xtant Medical Holdings was 2.00. The lowest was 0.21. And the median was 0.38.


Be Aware

Cyclically Adjusted PB Ratio works better for cyclical companies. It gives you a better idea on the company's real book value.


Xtant Medical Holdings Cyclically Adjusted Book per Share Related Terms


Xtant Medical Holdings Cyclically Adjusted Book per Share Historical Data

* Premium members only.

The historical data trend for Xtant Medical Holdings's Cyclically Adjusted Book per Share can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Xtant Medical Holdings Cyclically Adjusted Book per Share Chart

Xtant Medical Holdings Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted Book per Share
Get a 7-Day Free Trial Premium Member Only Premium Member Only -2.43 -5.01 -5.51 -4.19 -2.87

Xtant Medical Holdings Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
Cyclically Adjusted Book per Share Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only -3.62 -2.51 -2.60 -2.87 -2.97

FRA:XMS vs POSC, LUNG, MDAI: Cyclically Adjusted Book per Share Comparison

For the Medical Devices subindustry, Xtant Medical Holdings's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Xtant Medical Holdings Cyclically Adjusted PB Ratio vs Medical Devices & Instruments Industry

For the Medical Devices & Instruments industry and Healthcare sector, Xtant Medical Holdings's Cyclically Adjusted PB Ratio distribution charts can be found below:

* The bar in red indicates where Xtant Medical Holdings's Cyclically Adjusted PB Ratio falls into.


FRA:XMS
31GF Score
Xtant Medical Holdings Inc FRA:XMS
Cyclically Adjusted Book per Share is just one metric. See GF Score™, valuation, warning signs, and more.
View Full Analysis

Xtant Medical Holdings Cyclically Adjusted Book per Share Calculation

E10 is a concept invented by Prof. Robert Shiller, who uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted Book per Share and the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted Book Value per Share of a company over the past 10 years.

What is Cyclically Adjusted Book per Share? How do we calculate Cyclically Adjusted Book per Share?

Cyclically Adjusted Book per Share is the average of the inflation adjusted Book Value per Share of a company over the past 10 years. Let's use an example to explain.

If we want to calculate the Cyclically Adjusted Book per Share of Wal-Mart (WMT) for Dec. 31, 2010, we need to have the inflation data and the book value per share from 2001 through 2010.

We adjusted the 2001 book value per share data with the total inflation from 2001 through 2010 to the equivalent book value in 2010. If the total inflation from 2001 to 2010 is 40%, and Wal-Mart's book value is $1 a share in 2001, then the 2001's equivalent book value in 2010 is $1.4 a share. If Wal-Mart's book value is $1 again in 2002, and the total inflation from 2002 through 2010 is 35%, then the equivalent 2002 book value in 2010 is $1.35. So on and so forth, you get the equivalent book value per share of past 10 years. Then you add them together and divided the sum by the count to get Cyclically Adjusted Book per Share.

Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.

For example, Xtant Medical Holdings's adjusted Book Value per Share data for the three months ended in Mar. 2026 was:

Adj_Book= Book Value per Share /CPI of Mar. 2026 (Change)*Current CPI (Mar. 2026)
=0.3/330.2130*330.2130
=0.300

Current CPI (Mar. 2026) = 330.2130.

Xtant Medical Holdings Quarterly Data

Book Value per Share CPI Adj_Book
201606 -0.397 241.018 -0.544
201609 -4.067 241.428 -5.563
201612 -4.627 241.432 -6.328
201703 -7.182 243.801 -9.728
201706 -12.467 244.955 -16.806
201709 -16.620 246.819 -22.235
201712 -32.483 246.524 -43.510
201803 0.960 249.554 1.270
201806 0.665 251.989 0.871
201809 0.817 252.439 1.069
201812 -2.900 251.233 -3.812
201903 -2.615 254.202 -3.397
201906 -2.742 256.143 -3.535
201909 -2.935 256.759 -3.775
201912 -3.001 256.974 -3.856
202003 -3.158 258.115 -4.040
202006 -3.124 257.797 -4.002
202009 -3.054 260.280 -3.875
202012 0.154 260.474 0.195
202103 0.323 264.877 0.403
202106 0.324 271.696 0.394
202109 0.320 274.310 0.385
202112 0.314 278.802 0.372
202203 0.305 287.504 0.350
202206 0.305 296.311 0.340
202209 0.325 296.808 0.362
202212 0.296 296.797 0.329
202303 0.281 301.836 0.307
202306 0.262 305.109 0.284
202309 0.395 307.789 0.424
202312 0.362 306.746 0.390
202403 0.337 312.332 0.356
202406 0.321 314.175 0.337
202409 0.297 315.301 0.311
202412 0.295 315.605 0.309
202503 0.292 319.799 0.302
202506 0.302 322.561 0.309
202509 0.307 324.800 0.312
202512 0.311 324.054 0.317
202603 0.300 330.213 0.300

Add all the adjusted book value per share together and divide the count will get our Cyclically Adjusted Book per Share.

What does a Cyclically Adjusted Book per Share of €-2.97 mean?
Xtant Medical Holdings (FRA:XMS) has a Cyclically Adjusted Book per Share of €-2.97 as of Mar. 2026. Cyclically adjusted book value per share represents the company's inflation-adjusted book value per share over a 10-year period. View historical data on Xtant Medical Holdings and its competitors.
Is Xtant Medical Holdings' Cyclically Adjusted Book per Share too high?
Xtant Medical Holdings' current Cyclically Adjusted Book per Share is €-2.97. Overall, Xtant Medical Holdings has a GF Score™ of 31/100, reflecting its overall financial health beyond just this single metric.
How does Xtant Medical Holdings' Cyclically Adjusted Book per Share compare to POSC and LUNG?
Xtant Medical Holdings' Cyclically Adjusted Book per Share of €-2.97 can be compared against companies in the Medical Devices & Instruments industry. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted Book per Share for a Medical Devices & Instruments company?
A good Cyclically Adjusted Book per Share depends on the Medical Devices & Instruments industry context. However, Cyclically Adjusted Book per Share should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted Book per Share mean?
A high Cyclically Adjusted Book per Share can signal that a stock is expensive relative to its fundamentals. Cyclically adjusted book value per share represents the company's inflation-adjusted book value per share over a 10-year period. View historical data on Xtant Medical Holdings and its competitors. Xtant Medical Holdings's current Cyclically Adjusted Book per Share is €-2.97. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Xtant Medical Holdings stock overvalued right now?
Xtant Medical Holdings (FRA:XMS) has a current Cyclically Adjusted Book per Share of €-2.97. The stock's GF Value™ is €0.54, compared to a current price of €0.37 — trading 32.2% below its estimated fair value. The current Cyclically Adjusted Book per Share is €-2.97. Xtant Medical Holdings' overall GF Score™ is 31/100 with 4 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted Book per Share calculated?
Cyclically Adjusted Book per Share is calculated from a company's financial statements. For Xtant Medical Holdings (FRA:XMS), the current Cyclically Adjusted Book per Share is €-2.97 as of Mar. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Xtant Medical Holdings (FRA:XMS) Overvalued in 2026?

Based on GuruFocus' analysis, Xtant Medical Holdings stock appears to be undervalued. The current stock price of €0.37 is trading 32.2% below its estimated GF Value™ of €0.54.

Key valuation signals for FRA:XMS:

  • Cyclically Adjusted Book per Share: €-2.97
  • GF Value™: €0.54 vs. price of €0.37 (32.2% below fair value)
  • GF Score™: 31/100 with 4 warning signs

No single metric tells the full story. See the FRA:XMS stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Xtant Medical Holdings Business Description

Other Exchanges XTNT:USA
Address 664 Cruiser Lane, Belgrade, MT, USA, 59714
Xtant Medical Holdings Inc is a 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. Its products are used by orthopedic spine surgeons and neurosurgeons to treat a variety of spinal disorders in the cervical, thoracolumbar, and interbody spine. The company's biomaterial products include OsteoSponge, OsteoSponge SC, OsteoSelect Plus DBM putty, OsteoWrap, and the line of 3Demin products, as well as other allografts. It generates a majority of its revenue from the U.S.
31GF Score

Get the complete analysis for FRA:XMS

Cyclically Adjusted Book per Share is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

€0.37
Price
€0.54
GF Value