Xtant Medical Holdings (FRA:XMS) Cyclically Adjusted PB Ratio: (As of Jul. 19, 2026)

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Director of Data and Quant Analytics at GuruFocus
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Dr. Charlie Tian is the founder and CEO of GuruFocus.com, a leading global investment research platform established in 2004. With a Ph.D. in physics, Dr. Tian transitioned from science to finance, applying a data-driven, disciplined approach to value investing.

FRA:XMS Xtant Medical Holdings Inc FRA:XMS
27 GF Score
Price €0.38
GF Value €0.52
! 4 Warning Signs
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What is Xtant Medical Holdings Cyclically Adjusted PB Ratio?

Shiller PE for Stocks: The True Measure of Stock Valuation


Xtant Medical Holdings  (FRA:XMS) Cyclically Adjusted PB Ratio Explanation

Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.

If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.


Xtant Medical Holdings Cyclically Adjusted PB Ratio Related Terms


Xtant Medical Holdings Cyclically Adjusted PB Ratio Historical Data

* Premium members only.

The historical data trend for Xtant Medical Holdings's Cyclically Adjusted PB Ratio 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 PB Ratio Chart

Xtant Medical Holdings Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted PB Ratio
Get a 7-Day Free Trial Premium Member Only Premium Member Only 0.00 0.00 0.00 0.00 0.00

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 PB Ratio 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 0.00 0.00 0.00 0.00 0.00

FRA:XMS vs POSC, LUNG, MDAI: Cyclically Adjusted PB Ratio 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
27GF Score
Xtant Medical Holdings Inc FRA:XMS
Cyclically Adjusted PB Ratio is just one metric. See GF Score™, valuation, warning signs, and more.
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Xtant Medical Holdings Cyclically Adjusted PB Ratio Calculation

Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.

Xtant Medical Holdings's Cyclically Adjusted Book per Share for the quarter that ended in Mar. 2026 is calculated as:

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.

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.

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 €0.38 is trading 26.9% below its estimated GF Value™ of €0.52.

Key valuation signals for FRA:XMS:

  • Cyclically Adjusted PB Ratio:
  • GF Value™: €0.52 vs. price of €0.38 (26.9% below fair value)
  • GF Score™: 27/100 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.
27GF Score

Get the complete analysis for FRA:XMS

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

€0.38
Price
€0.52
GF Value