0001493152-26-022604 | 10-Q | XBRL Viewer | Xtant Medical Holdings INC

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Schedule of Property and Equipment, Net (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Property, Plant, and Equipment [Line Items]
Total cost	$ 28,300	$ 28,409
Less: accumulated depreciation	(22,446)	(22,207)
Property and equipment, net	5,854	6,202
Equipment [Member]
Property, Plant, and Equipment [Line Items]
Total cost	7,503	7,346
Computer Equipment [Member]
Property, Plant, and Equipment [Line Items]
Total cost	1,257	1,252
Computer Software [Member]
Property, Plant, and Equipment [Line Items]
Total cost	361	361
Leasehold Improvements [Member]
Property, Plant, and Equipment [Line Items]
Total cost	4,483	4,483
Surgical Instruments [Member]
Property, Plant, and Equipment [Line Items]
Total cost	13,861	14,070
Assets not yet in Service [Member]
Property, Plant, and Equipment [Line Items]
Total cost	$ 835	$ 897

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Mar. 31, 2026
Insider Trading Arrangements [Line Items]
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Mar. 31, 2026	Mar. 31, 2025
Pay vs Performance Disclosure [Table]
Net (Loss) Income	$ (3,089)	$ 58

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

Schedule of Calculation of Consolidated Net (Loss) Income (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting [Abstract]
Revenue	$ 20,884	$ 32,904
Less cost of sales	8,913	12,661
Gross Profit	$ 11,971	$ 20,243
Gross Margin	57.30%	61.50%
General and administrative	$ 6,273	$ 7,533
Sales and marketing	8,186	11,204
Research and development	435	443
Interest expense	599	1,045
Interest income	(219)
Unrealized foreign currency translation (gain) loss	1	(24)
Other (income) expense	(242)	9
Provision (benefit) for income taxes	27	(25)
Net (Loss) Income	$ (3,089)	$ 58

Property and Equipment, Net (Details Narrative) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Property, Plant, and Equipment [Abstract]
Depreciation expenses	$ 0.5	$ 0.6

Inventories

3 Months Ended

Mar. 31, 2026

Inventory Disclosure [Abstract]

Inventories

(5) Inventories

Inventories consist of the following (in thousands):

Schedule of Inventories

	March 31, 2026		December 31, 2025
Raw materials	$	6,074	$	5,689
Work in process		5,143		4,799
Finished goods		20,664		19,775
Total	$	31,881	$	30,263

Segment and Geographic Information

3 Months Ended

Mar. 31, 2026

Segment Reporting [Abstract]

Segment and Geographic Information

(16) Segment and Geographic Information

The Company operates as one reportable and operating segment based upon the Company’s organization structure and the way in which the operations and investments are managed and evaluated by the chief operating decision maker (“CODM”), who is the Company’s Chief Executive Officer. The CODM uses consolidated net (loss) income as the primary measure of segment profit or loss to monitor performance and allocate resources.

The measure of segment assets is reported on the balance sheet as total assets. The CODM does not review segment assets at a level other than that presented in the Company’s consolidated balance sheets.

The table below provides the calculation of consolidated net (loss) income, which is the performance measure that is most consistent with GAAP, and the significant operating expenses included in this performance measure (in thousands):

	2026			2025
	Three Months Ended March 31,
	2026			2025
Revenue	$	20,884		$	32,904
Less cost of sales		8,913			12,661
Gross Profit		11,971			20,243
Gross Margin		57.3	%		61.5	%
Less:
General and administrative		6,273			7,533
Sales and marketing		8,186			11,204
Research and development		435			443
Interest expense		599			1,045
Interest income		(219	)		—
Unrealized foreign currency translation (gain) loss		1			(24	)
Other (income) expense		(242	)		9
Provision (benefit) for income taxes		27			(25	)
Net (Loss) Income	$	(3,089	)	$	58

The Company attributes revenues to geographic areas based on the location of the customer. Approximately 100% and 92% of revenue was in the United States for the three months ended March 31, 2026 and 2025, respectively. Total revenue by major geographic area is as follows (in thousands):

	2026		2025
	Three Months Ended March 31,
	2026		2025
United States	$	20,707	$	30,117
Rest of world		177		2,787
Total revenue	$	20,884	$	32,904

- Definition

The entire disclosure for segment reporting.

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+ Details

Inventories (Tables)

3 Months Ended

Mar. 31, 2026

Inventory Disclosure [Abstract]

Schedule of Inventories

Inventories consist of the following (in thousands):

Schedule of Inventories

	March 31, 2026		December 31, 2025
Raw materials	$	6,074	$	5,689
Work in process		5,143		4,799
Finished goods		20,664		19,775
Total	$	31,881	$	30,263

Summary of Revenues from Product Lines (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Disaggregation of Revenue [Line Items]
Total revenue	$ 20,884	$ 32,904
Percentage of total revenue	100.00%	100.00%
Orthobiologics [Member]
Disaggregation of Revenue [Line Items]
Total revenue	$ 15,609	$ 18,074
Percentage of total revenue	75.00%	55.00%
Spinal Implant [Member]
Disaggregation of Revenue [Line Items]
Total revenue	$ 5,275	$ 11,210
Percentage of total revenue	25.00%	34.00%
License Revenue [Member]
Disaggregation of Revenue [Line Items]
Total revenue		$ 3,620
Percentage of total revenue		11.00%

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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-Paragraph 91
-Subparagraph (g)
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-URI https://asc.fasb.org/1943274/2147479777/606-10-55-91

+ Details

- Definition

Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

+ References

+ Details

Stock-Based Compensation (Tables)

3 Months Ended

Mar. 31, 2026

Share-Based Payment Arrangement [Abstract]

Schedule of Stock Options Activity

Stock option activity was as follows for the three months ended March 31, 2026 and 2025:

Schedule of Stock Options Activity

	2026							2025
	Shares			Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)		Shares			Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)
Outstanding at January 1		3,760,472			1.30				3,925,403			1.29
Cancelled or expired		(53,125	)		1.10				(164,432	)		1.09
Outstanding at March 31		3,707,347			1.30		5.44		3,760,971			1.30		6.68
Exercisable at March 31		3,295,444			1.32		5.21		2,894,964			1.37		6.25

Schedule of Restricted Stock Activity

Restricted stock unit and deferred stock unit activity was as follows for the three months ended March 31, 2026 and 2025:

Schedule of Restricted Stock Activity

	2026					2025
	Shares			Weighted Average Fair Value at Grant Date Per Share		Shares			Weighted Average Fair Value at Grant Date Per Share
Outstanding at January 1		7,669,138		$	0.79		5,455,472		$	0.90
Vested		(44,496	)		0.71		(44,496	)		0.71
Cancelled		(114,486	)		0.67		(34,197	)		0.98
Outstanding at March 31		7,510,156		$	0.79		5,376,779		$	0.93

Schedule of PSU Awards Activity

Activity for PSU awards granted under the 2023 Plan, assuming target performance, was as follows for the three months ended March 31, 2026 and 2025:

Schedule of PSU Awards Activity

	2026					2025
	Shares			Weighted Average Fair Value		Shares		Weighted Average Fair Value
Outstanding at January 1		3,340,111			1.16		1,640,709		1.49

Forfeited		(122,768	)		1.49		—		—
Outstanding at March 31		3,217,343			1.15		1,640,709		1.49

Segment and Geographic Information (Tables)

3 Months Ended

Mar. 31, 2026

Segment Reporting [Abstract]

Schedule of Calculation of Consolidated Net (Loss) Income

	2026			2025
	Three Months Ended March 31,
	2026			2025
Revenue	$	20,884		$	32,904
Less cost of sales		8,913			12,661
Gross Profit		11,971			20,243
Gross Margin		57.3	%		61.5	%
Less:
General and administrative		6,273			7,533
Sales and marketing		8,186			11,204
Research and development		435			443
Interest expense		599			1,045
Interest income		(219	)		—
Unrealized foreign currency translation (gain) loss		1			(24	)
Other (income) expense		(242	)		9
Provision (benefit) for income taxes		27			(25	)
Net (Loss) Income	$	(3,089	)	$	58

Schedule of Revenues by Geographic Region

	2026		2025
	Three Months Ended March 31,
	2026		2025
United States	$	20,707	$	30,117
Rest of world		177		2,787
Total revenue	$	20,884	$	32,904

- Definition

Tabular disclosure of segment reporting. Includes, but is not limited to, reconciliation of reportable segment amount to corresponding consolidated total.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 31
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-31

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 280
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-Name Accounting Standards Codification
-Section 50
-Paragraph 34
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-URI https://asc.fasb.org/1943274/2147482810/280-10-50-34

Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 280
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Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 280
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-Paragraph 30
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-URI https://asc.fasb.org/1943274/2147482810/280-10-50-30

Reference 5: http://www.xbrl.org/2009/role/commonPracticeRef
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-URI https://asc.fasb.org/1943274/2147482810/280-10-50-26C

Reference 6: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 7: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 8: http://www.xbrl.org/2009/role/commonPracticeRef
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-Topic 280
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-Name Accounting Standards Codification
-Section 50
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-22

Reference 10: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 280
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-Name Accounting Standards Codification
-Section 50
-Paragraph 15
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-15

+ Details

Income Taxes (Tables)

3 Months Ended

Mar. 31, 2026

Income Tax Disclosure [Abstract]

Schedule of Income Taxes

Information on the Company’s income taxes for the periods reported is as follows:

Schedule of Income Taxes

	2026			2025
	Three Months Ended March 31,
	2026			2025
Income tax expense (benefit) from continuing operations	$	27		$	(25	)
(Loss) income from continuing operations before income taxes	$	(3,062	)	$	33
Effective income tax rate		-0.9	%		-75.8	%

Warrants (Tables)

3 Months Ended

Mar. 31, 2026

Warrants

Schedule of Warrant Activity

Warrant activity was as follows for the three months ended March 31, 2026 and 2025:

Schedule of Warrant Activity

	2026							2025
	Shares			Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)		Shares		Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)
Outstanding at January 1		12,237,470			1.53				12,237,470		1.53
Cancelled or expired		(7,111,112	)		2.29				—		—
Outstanding at March 31		5,126,358			0.48		1.42		12,237,470		1.53		1.54
Exercisable at March 31		5,126,358			0.48		1.42		12,237,470		1.53		1.54

Business Description, Basis of Presentation and Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2026

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Business Description, Basis of Presentation and Summary of Significant Accounting Policies

(1) Business Description, Basis of Presentation and Summary of Significant Accounting Policies

Business Description and Basis of Presentation

The accompanying condensed consolidated financial statements include the accounts of Xtant Medical Holdings, Inc. (“Xtant”), a Delaware corporation, and its wholly owned subsidiaries, which are jointly referred to herein as “Xtant” or the “Company”. The terms “we,” “us” and “our” also refer to Xtant. All intercompany balances and transactions have been eliminated in consolidation.

Xtant is a global medical technology company focused on the design, development, and commercialization of a comprehensive portfolio of orthobiologics and spinal implant fixation systems to facilitate spinal fusion in complex spine, deformity, and degenerative procedures.

The accompanying condensed consolidated balance sheet as of December 31, 2025, which has been derived from audited financial statements, and the unaudited interim condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”). They do not include all disclosures required by generally accepted accounting principles for annual consolidated financial statements, but in the opinion of management include all adjustments, consisting only of normal recurring items, necessary for a fair presentation.

Interim results are not necessarily indicative of results that may be achieved in the future for the full year ending December 31, 2026.

These condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto, which are included in Xtant’s Annual Report on Form 10-K for the year ended December 31, 2025. The accounting policies set forth in those annual consolidated financial statements are the same as the accounting policies utilized in the preparation of these condensed consolidated financial statements, except as modified for appropriate interim consolidated financial statement presentation.

Use of Estimates

The preparation of the condensed consolidated financial statements requires management of the Company to make a number of estimates and assumptions relating to the reported amount of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenue and expenses during the period. Significant estimates include the carrying amount of property and equipment; goodwill, intangible assets and liabilities; valuation allowances for trade receivables, inventory, deferred income tax assets and liabilities; current and long-term lease obligations and corresponding right-of-use asset; and estimates for the fair value of long-term debt, stock options and other equity awards upon which the Company determines stock-based compensation expense. Actual results could differ from those estimates.

Cash, Cash Equivalents, and Restricted Cash

The Company considers all highly liquid investments purchased with an original maturity date of three months or less to be cash equivalents. Cash equivalents are recorded at cost, which approximates market value. The Company maintains its cash balances primarily with two financial institutions. These balances generally exceed federally insured limits. The Company has not experienced any losses in such accounts and believes it is not exposed to any significant credit risk in cash and cash equivalents.

Cash and cash equivalents classified as restricted cash on the Company’s condensed consolidated balance sheets are restricted as to withdrawal or use under the terms of certain contractual agreements. The March 31, 2026 and December 31, 2025 balances included lockbox deposits that are temporarily restricted due to timing at the period end. The lockbox deposits are applied against the Company’s line of credit the next business day.

Long-Lived Assets

The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recovered. No impairments of long-lived assets were recorded for the three months ended March 31, 2026 and 2025.

Goodwill

Goodwill represents the excess of costs over fair value of assets of businesses acquired. Goodwill and intangible assets acquired in a purchase business combination and determined to have indefinite useful lives are not amortized. Instead, they are tested for impairment at least annually, and whenever events or circumstances indicate, the carrying amount of the asset may not be recoverable. No impairments of goodwill were recorded for the three months ended March 31, 2026 and 2025.

Stock-Based Compensation

The Company accounts for stock-based compensation in accordance with Financial Accounting Standards Board, or FASB, Accounting Standards Codification (“ASC”) 718, Compensation-Stock Compensation. ASC 718 requires the recognition of compensation expense, using a fair-value based method, for costs related to all stock-based payments including stock options, restricted stock units, performance stock units, and shares issued under its employee stock purchase plan. ASC 718 requires companies to estimate the fair value of all share-based payment option awards on the date of grant using an option pricing model. The fair value of stock options is recognized over the period during which an optionee is required to provide services in exchange for the option award, known as the requisite service period (usually the vesting period), on a straight-line basis. The Company accounts for option forfeitures as they occur.

The Company accounts for stock-based compensation for restricted stock units and deferred stock units at their fair value, based on the closing market price of the Company’s common stock on the date of grant. These costs are recognized on a straight-line basis over the requisite service period, which is usually the vesting period.

The Company accounts for stock-based compensation for performance stock units with market-based conditions at their fair value on the date of the award using the Monte Carlo simulation model. These costs are recognized over the requisite service period, which is usually the vesting period, regardless of the likelihood of achievement of the market-based performance criteria.

Recently Issued Accounting Pronouncements

In November 2024, the Financial Accounting Standards Board issued ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40). This ASU requires that public business entities disclose additional information about specific expense categories in the notes to financial statements at interim and annual reporting periods. The prescribed categories include purchases of inventory, employee compensation, depreciation, intangible asset amortization, and depletion. This authoritative guidance is effective for annual periods beginning after December 15, 2026 and interim periods beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the effect of this new guidance on its consolidated financial statements.

Foreign Currency

The Company generates revenues outside the United States in multiple foreign currencies including euros, Swiss francs, British pounds and in U.S. dollar-denominated transactions conducted with customers who generate revenue in currencies other than the U.S. dollar. The Company also incurs operating expenses in euros, Swiss francs and British pounds. All assets and liabilities of foreign subsidiaries which have a functional currency other than the U.S. dollar are translated at the rate of exchange at period-end, while elements of the income statement are translated at the average exchange rates in effect during the period. The net effect of these translation adjustments is shown as a component of accumulated other comprehensive income (loss). Foreign currency transaction gains and losses are reported in unrealized foreign currency translation (loss) gain.

Fair Value of Financial Instruments

The carrying values of financial instruments, including trade accounts receivable, note receivable, accounts payable, accrued liabilities and long-term debt, approximate their fair values based on terms and related interest rates as of March 31, 2026 and December 31, 2025.

Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2026

Intangible Asset, Goodwill and Other [Abstract]

Schedule of Intangible of Assets

The following table sets forth information regarding intangible assets (in thousands):

Schedule of Intangible of Assets

March 31, 2026:

Weighted

Average Life

Cost

Accumulated

Amortization

Net

Patents

13 years

1,027

(752

)

275

December 31, 2025:

Weighted

Average Life

Cost

Accumulated

Amortization

Net

Patents

13 years

1,027

(728

)

299

Business Description, Basis of Presentation and Summary of Significant Accounting Policies (Details Narrative) - USD ($)	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Impairments of long-lived assets	$ 0	$ 0
Impairments of goodwill	$ 0	$ 0

- Definition

Amount of impairment loss from asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

+ References + Details

Schedule of Inventories (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Inventory Disclosure [Abstract]
Raw materials	$ 6,074	$ 5,689
Work in process	5,143	4,799
Finished goods	20,664	19,775
Total	$ 31,881	$ 30,263

Trade Accounts Receivable, Net (Tables)

3 Months Ended

Mar. 31, 2026

Credit Loss [Abstract]

Schedule of Allowance for Credit Losses

	March 31, 2026			March 31, 2025
Balance at January 1	$	2,165		$	1,437
Provision for current expected credit losses		180			243
(Write-offs) recoveries against allowance		(230	)		25
Balance at March 31	$	2,115		$	1,705

Schedule of Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Supplemental Cash Flow Elements [Abstract]
Interest	$ 470	$ 882

Subsequent Event (Details Narrative) $ in Millions	Apr. 13, 2026 USD ($)
Distribution Agreement [Member] \| Subsequent Event [Member]
Subsequent Event [Line Items]
Distribution fee paid	$ 5.0

Supplemental Disclosure of Cash Flow Information

3 Months Ended

Mar. 31, 2026

Supplemental Cash Flow Elements [Abstract]

Supplemental Disclosure of Cash Flow Information

(15) Supplemental Disclosure of Cash Flow Information

Supplemental cash flow information is as follows (in thousands):

	2026		2025
	Three Months Ended March 31,
	2026		2025
Cash paid during the period for:
Interest	$	470	$	882

Supplemental Disclosure of Cash Flow Information (Tables)

3 Months Ended

Mar. 31, 2026

Supplemental Cash Flow Elements [Abstract]

Schedule of Supplemental Cash Flow Information

Supplemental cash flow information is as follows (in thousands):

	2026		2025
	Three Months Ended March 31,
	2026		2025
Cash paid during the period for:
Interest	$	470	$	882

Schedule of Revenues by Geographic Region (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting [Line Items]
Total revenue	$ 20,884	$ 32,904
UNITED STATES
Segment Reporting [Line Items]
Total revenue	20,707	30,117
Non-US [Member]
Segment Reporting [Line Items]
Total revenue	$ 177	$ 2,787

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 34
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-34

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
-Section 50
-Paragraph 32
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-Publisher FASB
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Intangible Assets (Details Narrative) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Intangible Asset, Goodwill and Other [Abstract]
Amortization expense	$ 0.0	$ 0.4

- Definition

Amount of amortization expense for finite-lived intangible asset. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed.

+ References

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+ Details

Accrued Liabilities

3 Months Ended

Mar. 31, 2026

Payables and Accruals [Abstract]

Accrued Liabilities

(8) Accrued Liabilities

Accrued liabilities consist of the following (in thousands):

Schedule of Accrued Liabilities

	March 31, 2026		December 31, 2025
Wages/commissions payable	$	6,238	$	6,726
Taxes payable		1,830		2,183
Other accrued liabilities		407		1,717
Accrued liabilities	$	8,475	$	10,626

Revenue (Details Narrative) - USD ($) $ in Thousands	3 Months Ended
Revenue (Details Narrative) - USD ($) $ in Thousands	Mar. 31, 2026	Mar. 31, 2025
Disaggregation of Revenue [Line Items]
Revenue	$ 20,884	$ 32,904
Bill and Hold Transactions [Member]
Disaggregation of Revenue [Line Items]
Revenue	$ 100

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

Schedule of Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended
Schedule of Income Taxes (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Mar. 31, 2025
Income Tax Disclosure [Abstract]
Income tax expense (benefit) from continuing operations	$ 27	$ (25)
(Loss) income from continuing operations before income taxes	$ (3,062)	$ 33
Effective income tax rate	(0.90%)	(75.80%)

- Definition

Amount of income (loss) from continuing operations, including income (loss) from equity method investments, before deduction of income tax expense (benefit), and income (loss) attributable to noncontrolling interest.

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- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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+ Details

Debt (Details Narrative) $ in Millions	Mar. 31, 2026 USD ($)
Term Credit Agreement [Member]
Line of Credit Facility [Line Items]
Effective interest rate	14.79%
Term Credit Agreement [Member] \| Revolving Credit Facility [Member]
Line of Credit Facility [Line Items]
outstanding line of credit	$ 0.4
Line of credit facility, remaining borrowing capacity	$ 11.8
Revolving Credit Agreement [Member]
Line of Credit Facility [Line Items]
Effective interest rate	10.28%

- Definition

The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement.

+ References + Details

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

+ Details

Stock-Based Compensation (Details Narrative) - USD ($) $ in Thousands		3 Months Ended		12 Months Ended
	Jul. 26, 2023	Mar. 31, 2026	Mar. 31, 2025	Dec. 31, 2025	Dec. 31, 2024
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Stock-based compensation expense		$ 746	$ 758
Share-Based Payment Arrangement, Option [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Unvested employee stock options not yet recognized		$ 400
Weighted-average period		1 year 3 months 18 days
Deferred Stock Units and Restricted Stock Units [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Weighted-average period		2 years 4 months 24 days
Compensation cost related to unvested stock units		$ 3,300
Performance Shares [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Weighted-average period		2 years
Compensation cost related to unvested stock units		$ 2,000
Employees and Directors [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Stock-based compensation expense		$ 700	$ 800
2023 Equity Incentive Plan [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Share based compensation, description	The maximum number of shares of our common stock available for issuance under the 2023 Plan, subject to adjustment pursuant to the terms of the 2023 Plan, as increased by an amendment approved by our stockholders on November 7, 2025, is (i) 17,800,000 shares of common stock; (ii) 7,695,812 shares of common stock remaining available for issuance under the 2018 Plan but not subject to outstanding awards under the 2018 Plan as of July 26, 2023; and (iii) up to 6,686,090 shares of common stock subject to awards outstanding under the 2018 Plan as of July 26, 2023 but only to the extent such awards are subsequently forfeited, cancelled, expire, or otherwise terminate without the issuance of such shares of common stock after such date.
Maximum number of common stock available for issuance	17,800,000
2023 Equity Incentive Plan [Member] \| Performance Shares [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Number of shares awarded				1,699,402	1,894,985
2023 Equity Incentive Plan [Member] \| Performance Shares [Member] \| Minimum [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Vesting rights, percentage				0.00%	0.00%
2023 Equity Incentive Plan [Member] \| Performance Shares [Member] \| Maximum [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Vesting rights, percentage				200.00%	200.00%
2018 Equity Incentive Plan [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Number of shares available for grant	7,695,812
Share based compensation, award outstanding	6,686,090

Schedule of Long-term Debt (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Debt Disclosure [Abstract]
Amounts due under term loan	$ 11,159	$ 14,000
Accrued end-of-term payments	905	817
Less: unamortized debt issuance costs	(249)	(291)
Less: current portion of long-term debt	(3,720)	(3,500)
Long-term debt, less issuance costs and current portion of long-term debt	$ 8,095	$ 11,026

- Definition

Amount, after deduction of unamortized premium (discount) and debt issuance cost, of long-term debt. Excludes lease obligation.

+ References

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+ Details

- Definition

The carrying value as of the balance sheet date of the noncurrent portion of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement.

+ References + Details

Intangible Assets

3 Months Ended

Mar. 31, 2026

Intangible Asset, Goodwill and Other [Abstract]

Intangible Assets

(7) Intangible Assets

The following table sets forth information regarding intangible assets (in thousands):

Schedule of Intangible of Assets

March 31, 2026:

Weighted

Average Life

Cost

Accumulated

Amortization

Net

Patents

13 years

1,027

(752

)

275

December 31, 2025:

Weighted

Average Life

Cost

Accumulated

Amortization

Net

Patents

13 years

1,027

(728

)

299

Amortization expense was $0.0 million and $0.4 million for the three months ended March 31, 2026 and 2025, respectively.

Cover - shares	3 Months Ended
Cover - shares	Mar. 31, 2026	May 08, 2026
Cover [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Quarterly Report	true
Document Transition Report	false
Document Period End Date	Mar. 31, 2026
Document Fiscal Period Focus	Q1
Document Fiscal Year Focus	2026
Current Fiscal Year End Date	--12-31
Entity File Number	001-34951
Entity Registrant Name	XTANT MEDICAL HOLDINGS, INC.
Entity Central Index Key	0001453593
Entity Tax Identification Number	20-5313323
Entity Incorporation, State or Country Code	DE
Entity Address, Address Line One	664 Cruiser Lane
Entity Address, City or Town	Belgrade
Entity Address, State or Province	MT
Entity Address, Postal Zip Code	59714
City Area Code	(406)
Local Phone Number	388-0480
Title of 12(b) Security	Common stock, par value $0.000001 per share
Trading Symbol	XTNT
Security Exchange Name	NYSEAMER
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		140,262,960

Schedule of Intangible of Assets (Details) - Patents [Member] - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Intangible Asset, Finite-Lived [Line Items]
Weighted avereage life	13 years	13 years
Intangible assets, gross	$ 1,027	$ 1,027
Accumulated amortization	(752)	(728)
Intangible assets, net	$ 275	$ 299

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

Stock-Based Compensation

3 Months Ended

Mar. 31, 2026

Share-Based Payment Arrangement [Abstract]

Stock-Based Compensation

(10) Stock-Based Compensation

On July 26, 2023, our stockholders approved and adopted the Xtant Medical Holdings, Inc. 2023 Equity Incentive Plan (the “2023 Plan”), which replaced the Xtant Medical Holdings, Inc. 2018 Equity Incentive Plan (as amended and restated, the “2018 Plan”) with respect to future grants of equity awards, although the 2018 Plan continues to govern equity awards granted under the 2018 Plan. The 2023 Plan permits the Board of Directors, or a committee thereof, to grant to eligible employees, non-employee directors, and consultants of the Company non-statutory and incentive stock options, stock appreciation rights, restricted stock awards, restricted stock units, deferred stock units, performance awards, non-employee director awards, and other stock-based awards. The 2023 Plan is administered by the Compensation Committee of the Board of Directors. The Compensation Committee or the Board of Directors may select 2023 Plan participants and determine the nature and amount of awards to be granted. The maximum number of shares of our common stock available for issuance under the 2023 Plan, subject to adjustment pursuant to the terms of the 2023 Plan, as increased by an amendment approved by our stockholders on November 7, 2025, is (i) 17,800,000 shares of common stock; (ii) 7,695,812 shares of common stock remaining available for issuance under the 2018 Plan but not subject to outstanding awards under the 2018 Plan as of July 26, 2023; and (iii) up to 6,686,090 shares of common stock subject to awards outstanding under the 2018 Plan as of July 26, 2023 but only to the extent such awards are subsequently forfeited, cancelled, expire, or otherwise terminate without the issuance of such shares of common stock after such date.

Total stock-based compensation expense recognized for employees and directors was $0.7 million and $0.8 million for the three months ended March 31, 2026 and 2025, respectively, and was recognized as general and administrative expense.

Stock Options

Stock option activity was as follows for the three months ended March 31, 2026 and 2025:

Schedule of Stock Options Activity

	2026							2025
	Shares			Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)		Shares			Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)
Outstanding at January 1		3,760,472			1.30				3,925,403			1.29
Cancelled or expired		(53,125	)		1.10				(164,432	)		1.09
Outstanding at March 31		3,707,347			1.30		5.44		3,760,971			1.30		6.68
Exercisable at March 31		3,295,444			1.32		5.21		2,894,964			1.37		6.25

As of March 31, 2026, there was approximately $0.4 million of total unrecognized compensation expense related to unvested stock options, which expense is expected to be recognized over a weighted-average period of 1.3 years.

Restricted Stock Units and Deferred Stock Units

Restricted stock unit and deferred stock unit activity was as follows for the three months ended March 31, 2026 and 2025:

Schedule of Restricted Stock Activity

	2026					2025
	Shares			Weighted Average Fair Value at Grant Date Per Share		Shares			Weighted Average Fair Value at Grant Date Per Share
Outstanding at January 1		7,669,138		$	0.79		5,455,472		$	0.90
Vested		(44,496	)		0.71		(44,496	)		0.71
Cancelled		(114,486	)		0.67		(34,197	)		0.98
Outstanding at March 31		7,510,156		$	0.79		5,376,779		$	0.93

Total stock-based compensation expense related to unvested restricted stock units and deferred stock units not yet recognized was $3.3 million as of March 31, 2026, which expense is expected to be allocated to expenses over a weighted-average period of 2.4 years.

Performance Stock Units

During 2024, the Company awarded performance stock units (“PSUs”) under the 2023 Plan to certain executive officers and key employees. The Company has awarded an aggregate of 1,894,985 PSUs, assuming target performance, and each PSU award can be earned and vested at the end of a three-year performance period based on the total stockholder return, or TSR, of the Company’s common stock price relative to a group of peer companies and subject to continued service to the Company. The number of shares of the Company’s common stock to be issued upon vesting and settlement of the PSUs range from 0% to 200% of the target number of shares underlying the award, depending on the Company’s performance against the group of peer companies.

During 2025, the Company awarded PSUs under the 2023 Plan to certain executive officers and key employees. The Company awarded 1,699,402 PSUs, assuming target performance, and each PSU award can be earned at the end of each of the three one-year performance periods based on stock appreciation goals and subject to continued service to the Company. After each one-year performance period, the amount earned in that period will vest equally over the remaining service periods. The number of shares of the Company’s common stock or deferred stock units to be issued upon vesting and settlement of the PSUs ranges from 0% to 200% of the target number of shares underlying the award, depending on the Company’s performance against the stock appreciation goals set forth in the awards.

Activity for PSU awards granted under the 2023 Plan, assuming target performance, was as follows for the three months ended March 31, 2026 and 2025:

Schedule of PSU Awards Activity

	2026					2025
	Shares			Weighted Average Fair Value		Shares		Weighted Average Fair Value
Outstanding at January 1		3,340,111			1.16		1,640,709		1.49

Forfeited		(122,768	)		1.49		—		—
Outstanding at March 31		3,217,343			1.15		1,640,709		1.49

The total stock-based compensation cost related to unvested PSUs not yet recognized was $2.0 million as of March 31, 2026, which is expected to be allocated to expenses over a weighted-average period of 2.0 years.

Schedule of Accrued Liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Payables and Accruals [Abstract]
Wages/commissions payable	$ 6,238	$ 6,726
Taxes payable	1,830	2,183
Other accrued liabilities	407	1,717
Accrued liabilities	$ 8,475	$ 10,626

Net (Loss) Income Per Share

3 Months Ended

Mar. 31, 2026

Net (Loss) Income Per Share:

Net (Loss) Income Per Share

(14) Net (Loss) Income Per Share

Basic net (loss) income per share is computed by dividing net (loss) income by the weighted average number of shares of common stock outstanding. Shares issued during the period and shares reacquired during the period are weighted for the portion of the period that they were outstanding. Diluted net (loss) income per share is computed in a manner consistent with that of basic earnings per share while giving effect to all potentially dilutive shares of common stock outstanding during the period, which include the assumed exercise of stock options and warrants using the treasury stock method. Diluted net (loss) income per share was the same as basic net (loss) income per share for the three months ended March 31, 2025, as shares issuable upon the exercise of stock options and warrants were anti-dilutive as a result of the net loss incurred for the period.

The table below sets forth the computation of basic and diluted (loss) earnings per share (in thousands, except per share data):

	2026			2025
	Three Months Ended March 31,
	2026			2025
Numerator:
Net (loss) income	$	(3,089	)	$	58
Denominator:
Basic – weighted average shares outstanding		140,058,787			139,068,831
Effect of dilutive securities:
Employee restricted stock units and deferred stock units		—			4,266,283
Diluted – weighted average shares outstanding		140,058,787			143,335,114
Basic (loss) earnings per share		(0.02	)		0.00
Diluted (loss) earnings per share		(0.02	)		0.00

For the three months ended March 31, 2026 and 2025, an aggregate of 19,261,204 and 16,068,993 shares underlying outstanding stock options, restricted stock units, deferred stock units, performance stock units and warrants were excluded for the diluted (loss) earnings per share calculation as they were anti-dilutive.

Sale of Coflex/CoFix Assets and International Hardware Business (Details Narrative) - USD ($) $ in Millions	Feb. 27, 2026	Dec. 01, 2025
Business Combination [Line Items]
issued and outstanding shares of equity securities		100.00%
Coflex/CoFix Agreement [Member] \| Companion Spine Llc [Member]
Business Combination [Line Items]
Future proceeds to be received		$ 17.5
Aggregate purchase price in cash		7.5
Cash payments		1.8
Unsecured promissory note		8.2
Payment of unsecured promissory note plus accrued interest	$ 8.5
total purchase price		21.4
Coflex/CoFix Agreement [Member] \| Paradigm Spine Gmbh [Member]
Business Combination [Line Items]
Aggregate purchase price in cash	$ 2.2	1.7
total purchase price		$ 3.9

Schedule of Allowance for Credit Losses (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Credit Loss [Abstract]
Beginning balance	$ 2,165	$ 1,437
Provision for current expected credit losses	180	243
(Write-offs) recoveries against allowance	230	25
Ending balance	$ 2,115	$ 1,705

Warrants

3 Months Ended

Mar. 31, 2026

Warrants

Warrants

(11) Warrants

Warrant activity was as follows for the three months ended March 31, 2026 and 2025:

Schedule of Warrant Activity

	2026							2025
	Shares			Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)		Shares		Weighted Average Exercise Price		Weighted Average Remaining Contract Term (years)
Outstanding at January 1		12,237,470			1.53				12,237,470		1.53
Cancelled or expired		(7,111,112	)		2.29				—		—
Outstanding at March 31		5,126,358			0.48		1.42		12,237,470		1.53		1.54
Exercisable at March 31		5,126,358			0.48		1.42		12,237,470		1.53		1.54

Property and Equipment, Net (Tables)

3 Months Ended

Mar. 31, 2026

Property, Plant, and Equipment [Abstract]

Schedule of Property and Equipment, Net

Property and equipment, net are as follows (in thousands):

Schedule of Property and Equipment, Net

	March 31, 2026			December 31, 2025
Equipment	$	7,503		$	7,346
Computer equipment		1,257			1,252
Computer software		361			361
Leasehold improvements		4,483			4,483
Surgical instruments		13,861			14,070
Assets not yet in service		835			897
Total cost		28,300			28,409
Less: accumulated depreciation		(22,446	)		(22,207	)
Property and equipment, net	$	5,854		$	6,202

Revenue

3 Months Ended

Mar. 31, 2026

Revenue from Contract with Customer [Abstract]

Revenue

(3) Revenue

In the United States, the Company generates a substantial portion of its revenue from independent commissioned sales agents. The Company consigns its orthobiologics products to hospitals and consigns or loans its spinal implant sets to independent sales agents. The spinal implant sets typically contain the instruments, disposables, and spinal implants required to complete a surgery. Consigned sets are managed by the sales agent to service hospitals that are high volume users for multiple procedures.

The Company ships replacement inventory to independent sales agents to replace the consigned inventory used in surgeries. Loaned sets are returned to the Company’s distribution center, replenished, and made available to sales agents for the next surgical procedure.

For each surgical procedure, the sales agent reports use of the product by the hospital and, as soon as practicable thereafter, ensures that the hospital provides a purchase order to the Company. Revenue is recognized upon utilization of product.

Additionally, the Company sells product directly to domestic and international stocking resellers, original equipment manufacturer resellers and private label resellers. Upon receipt and acceptance of a purchase order from a stocking reseller, the Company ships product and invoices the reseller. The Company recognizes revenue when the control is transferred upon shipment or upon delivery, based on the contract terms and legal requirements, and the transfer of title and risk of loss occurs. There is generally no customer acceptance or other condition that prevents the Company from recognizing revenue in accordance with the delivery terms for these sales transactions. In the normal course of business, the Company accepts returns of product that have not been implanted. Product returns are not material to the Company’s consolidated statements of operations. The Company accounts for shipping and handling activities as a fulfillment cost rather than a separate performance obligation. The Company’s policy is to record revenue net of any applicable sales, use, or excise taxes. Payment terms are generally net 30 days from invoice date and some customers are offered discounts for early payment. The consideration for goods or services reflects any fixed amount stated per the contract and estimates for any variable consideration, such as returns, discounts or rebates, to the extent that it is probable that a significant reversal of cumulative revenue recognized will not occur when the uncertainty associated with the variable consideration is resolved. For certain sales transactions, we incur group purchasing organization fees that are based on a contractual percentage of applicable sales and are treated as consideration payable to a customer and recorded as a reduction of revenue.

The Company recognizes revenue in certain circumstances before product delivery occurs (commonly referred to as bill-and-hold transactions). When the Company enters into bill-and-hold arrangements, the Company determines if the customer obtains control of the product by determining (a) the reason for the bill-and-hold arrangement; (b) whether the product was identified separately as belonging to the customer; (c) whether the product was ready for physical transfer to the customer; and (d) whether the Company was unable to utilize the product or direct it to another customer. For bill-and-hold arrangements, the associated product inventory is identified separately by the Company as belonging to the customer and is ready for physical transfer. At March 31, 2026, $0.1 million was included in revenue for products that had not shipped. Occasionally the Company will receive consideration in advance of transferring products to its customers and records a contract liability. Contract liabilities are recognized as revenue in proportion to when control of the goods is transferred to the customer.

License revenue

License revenue is recognized when control of the intellectual property (“IP”) rights is transferred to a customer in an amount that reflects the consideration the Company expects to be entitled to in exchange for the licensing of the Company’s IP. Revenue for IP rights is accounted for based on the nature of the promise to grant the license. In determining whether the Company’s promise is to provide a right to access its IP or a right to use its IP, the Company considers the nature of its IP to which the customer will have rights. IP is either functional IP which has significant standalone functionality or symbolic IP which does not have significant standalone functionality. Revenue from functional IP is recognized at the point in time when control of the distinct license is transferred to the customer. Revenue from symbolic IP is recognized over the access period to the Company’s IP.

Revenues from sales-based royalties promised in exchange for a license of IP is recognized at the later of when the underlying sale occurs, or the performance obligation to which some or all of the sales based royalty has been allocated is satisfied.

The Company has a license agreement which grants an exclusive, nontransferable, non-sublicensable, royalty bearing right to manufacture and commercialize one of our products in the United States. The Company concluded that this agreement represented one performance obligation of transferring the IP rights to manufacture and commercialize the product. This was determined to be functional IP. The transaction price included quarterly royalty payments based on the volume of product sold subject to guaranteed quarterly minimums. Due to policy changes by the Centers for Medicare & Medicaid Services that went into effect on January 1, 2026, no revenue was recognized in connection with the license agreement during the three months ended March 31, 2026.

Disaggregation of revenue

The Company operates in one reportable segment with its net revenue derived primarily from the sale of orthobiologics and spinal implant products across North America, Europe, Asia Pacific, and Latin America. Sales are reported net of returns, discounts and rebates.

The following table presents revenues from these product lines for the three months ended March 31, 2026 and 2025 (in thousands):

Summary of Revenues from Product Lines

	Three Months Ended		Percentage of			Three Months Ended		Percentage of
	March 31, 2026		Total Revenue			March 31, 2025		Total Revenue
Orthobiologics	$	15,609		75	%	$	18,074		55	%
Spinal implant		5,275		25	%		11,210		34	%
License revenue		—		—	%		3,620		11	%
Total revenue	$	20,884		100	%	$	32,904		100	%

- Definition

The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 7
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-7

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Segment and Geographic Information (Details Narrative) - Segment	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Customer, Extent of Reliance [Line Items]
Number of reportable segment	1
Number of operating segment	1
Customer Concentration Risk [Member] \| Revenue from Contract with Customer Benchmark [Member] \| UNITED STATES
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Customer, Extent of Reliance [Line Items]
Concentration risk, percentage	100.00%	92.00%

- Definition

For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

+ References + Details

Schedule of Principal Payments (Details) $ in Thousands	3 Months Ended
Schedule of Principal Payments (Details) $ in Thousands	Mar. 31, 2026 USD ($)
Remainder of 2026 [Member]
Short-Term Debt [Line Items]
Scheduled quarterly payments	$ 930
Annually	2,790
2027 [Member]
Short-Term Debt [Line Items]
Scheduled quarterly payments	930
Annually	3,720
2028 [Member]
Short-Term Debt [Line Items]
Scheduled quarterly payments	930
Annually	3,720
2029 [Member]
Short-Term Debt [Line Items]
Scheduled quarterly payments	930
Annually	$ 930

Schedule of Stock Options Activity (Details) - Share-Based Payment Arrangement, Option [Member] - 2023 and 2018 Equity Incentive Plan [Member] - $ / shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares, Outstanding, Beginning balance	3,760,472	3,925,403
Weighted Average Exercise Price, Outstanding, Beginning balance	$ 1.30	$ 1.29
Shares, Cancelled or expired	(53,125)	(164,432)
Weighted Average Exercise Price, Cancelled or expired	$ 1.10	$ 1.09
Shares, Outstanding, Ending balance	3,707,347	3,760,971
Weighted Average Exercise Price, Outstanding, Ending balance	$ 1.30	$ 1.30
Weighted Average Remaining Contract Term (Years) Outstanding	5 years 5 months 8 days	6 years 8 months 4 days
Shares, Exercisable, Ending balance	3,295,444	2,894,964
Weighted Average Exercise Price, Exercisable, Ending balance	$ 1.32	$ 1.37
Weighted Average Remaining Contract Term (years), Exercisable	5 years 2 months 15 days	6 years 3 months

Schedule of Restricted Stock Activity (Details) - Deferred Stock Units and Restricted Stock Units [Member] - 2023 and 2018 Equity Incentive Plan [Member] - $ / shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares Outstanding, Beginning balance	7,669,138	5,455,472
Weighted Average Fair Value at Grant Date Per Share, Outstanding, Beginning balance	$ 0.79	$ 0.90
Shares, Vested	(44,496)	(44,496)
Weighted Average Fair Value at Grant Date Per Share, Vested	$ 0.71	$ 0.71
Shares, Cancelled	(114,486)	(34,197)
Weighted Average Fair Value at Grant Date Per Share, Cancelled	$ 0.67	$ 0.98
Shares Outstanding, Ending balance	7,510,156	5,376,779
Weighted Average Fair Value at Grant Date Per Share, Outstanding, Ending balance	$ 0.79	$ 0.93

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 718
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-Section 50
-Paragraph 2
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+ Details

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Current Assets:
Cash and cash equivalents	$ 12,137	$ 17,053
Restricted cash	20	275
Trade accounts receivable, net of allowance for credit losses of $2,115 and $2,165, respectively	17,179	17,803
Inventories	31,881	30,263
Note receivable		10,462
Prepaid and other current assets	1,404	2,389
Total current assets	62,621	78,245
Property and equipment, net	5,854	6,202
Right-of-use asset, net	3,045	3,192
Goodwill	6,074	6,074
Intangible assets, net	275	299
Other assets	131	133
Total Assets	78,000	94,145
Current Liabilities:
Accounts payable	5,485	3,844
Accrued liabilities	8,475	10,626
Current portion of long-term debt	3,720	3,500
Current portion of lease liability	617	622
Current portion of finance lease obligations	35	35
Line of credit	441	10,857
Total current liabilities	18,773	29,484
Long-term Liabilities:
Lease liability, less current portion	2,525	2,665
Finance lease obligation, less current portion	3	12
Long-term debt, plus premium and less issuance costs	8,095	11,026
Other liabilities	5	5
Total Liabilities	29,401	43,192
Commitments and Contingencies (Note 12)
Stockholders’ Equity:
Preferred stock, $0.000001 par value; 10,000,000 shares authorized; no shares issued and outstanding
Common stock, $0.000001 par value; 300,000,000 shares authorized; 140,068,260 shares issued and outstanding as of March 31, 2026 and 140,039,557 shares issued and outstanding as of December 31, 2025
Additional paid-in capital	306,175	305,439
Accumulated other comprehensive loss	(1)
Accumulated deficit	(257,575)	(254,486)
Total Stockholders’ Equity	48,599	50,953
Total Liabilities & Stockholders’ Equity	$ 78,000	$ 94,145

Schedule of Warrant Activity (Details) - Warrant [Member] - $ / shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares, Outstanding, Beginning balance	12,237,470	12,237,470
Weighted Average Exercise Price, Outstanding, Beginning balance	$ 1.53	$ 1.53
Shares, Cancelled or expired	(7,111,112)
Weighted Average Exercise Price, Cancelled or expired	$ 2.29
Shares, Outstanding, Ending balance	5,126,358	12,237,470
Weighted Average Exercise Price, Cancelled or expired	$ 0.48	$ 1.53
Weighted Average Remaining Contractual Term (years), Outstanding	1 year 5 months 1 day	1 year 6 months 14 days
Shares, Exercisable, Ending balance	5,126,358	12,237,470
Weighted Average Exercise Price, Exercisable, Ending balance	$ 0.48	$ 1.53
Weighted Average Remaining Contractual Term (years), Exercisable	1 year 5 months 1 day	1 year 6 months 14 days

Condensed Consolidated Statements of Operations (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Revenue
Total Revenue	$ 20,884	$ 32,904
Cost of Sales	8,913	12,661
Gross Profit	11,971	20,243
Operating Expenses
General and administrative	6,273	7,533
Sales and marketing	8,186	11,204
Research and development	435	443
Total Operating Expenses	14,894	19,180
(Loss) Income from Operations	(2,923)	1,063
Other Expense
Interest expense	(599)	(1,045)
Interest income	219
Unrealized foreign currency translation (loss) gain	(1)	24
Other income (expense)	242	(9)
Total Other Expense	(139)	(1,030)
Net (Loss) Income from Operations Before Provision for Income Taxes	(3,062)	33
(Provision) Benefit for Income Taxes Current and Deferred	(27)	25
Net (Loss) Income	$ (3,089)	$ 58
Net (Loss) Income Per Share:
Basic	$ (0.02)	$ 0.00
Dilutive	$ (0.02)	$ 0.00
Shares used in the computation:
Basic	140,058,787	139,068,831
Dilutive	140,058,787	143,335,114
Product [Member]
Revenue
Total Revenue	$ 20,884	$ 29,284
License [Member]
Revenue
Total Revenue		$ 3,620

Property and Equipment, Net

3 Months Ended

Mar. 31, 2026

Property, Plant, and Equipment [Abstract]

Property and Equipment, Net

(6) Property and Equipment, Net

Property and equipment, net are as follows (in thousands):

Schedule of Property and Equipment, Net

	March 31, 2026			December 31, 2025
Equipment	$	7,503		$	7,346
Computer equipment		1,257			1,252
Computer software		361			361
Leasehold improvements		4,483			4,483
Surgical instruments		13,861			14,070
Assets not yet in service		835			897
Total cost		28,300			28,409
Less: accumulated depreciation		(22,446	)		(22,207	)
Property and equipment, net	$	5,854		$	6,202

Depreciation expense related to property and equipment, including property under finance leases, for the first three months of 2026 and 2025 was $0.5 million and $0.6 million, respectively.

- Definition

The entire disclosure for property, plant, and equipment. Includes, but is not limited to, land and land improvement; building; machinery and equipment; furniture and fixture; and work of art, historical treasure, or similar asset classified as collection.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 360
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (b)
-Publisher FASB
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org/1943274/2147480091/360-10-S99-2

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-URI https://asc.fasb.org/1943274/2147477798/958-360-50-7

+ Details

Trade Accounts Receivable, Net

3 Months Ended

Mar. 31, 2026

Credit Loss [Abstract]

Trade Accounts Receivable, Net

(4) Trade Accounts Receivable, Net

Trade accounts receivable is reduced by an estimated allowance for credit losses based on historical collection experience adjusted for current economic conditions affecting collectability and reasonable and supportable forecasts concerning the future. Actual customer collections could differ from estimates. Account balances are charged to the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. Provisions to the allowance for credit losses are charged to expense. Activity within the allowance for credit losses consist of the following (in thousands):

Schedule of Allowance for Credit Losses

	March 31, 2026			March 31, 2025
Balance at January 1	$	2,165		$	1,437
Provision for current expected credit losses		180			243
(Write-offs) recoveries against allowance		(230	)		25
Balance at March 31	$	2,115		$	1,705

Income Taxes

3 Months Ended

Mar. 31, 2026

Income Tax Disclosure [Abstract]

Income Taxes

(13) Income Taxes

Information on the Company’s income taxes for the periods reported is as follows:

Schedule of Income Taxes

	2026			2025
	Three Months Ended March 31,
	2026			2025
Income tax expense (benefit) from continuing operations	$	27		$	(25	)
(Loss) income from continuing operations before income taxes	$	(3,062	)	$	33
Effective income tax rate		-0.9	%		-75.8	%

Our effective tax rate for the three months ended March 31, 2026 differs from the statutory rate due to a valuation allowance against deferred tax assets, offset by the impact of cash state taxes.

Our effective tax rate for the three months ended March 31, 2025 differs from the statutory rate due to a valuation allowance against deferred tax assets, offset by the impact of cash state and foreign taxes.

As of March 31, 2026, the Company is not currently under examination by tax authorities.

- Definition

The entire disclosure for income tax.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

Net (Loss) Income Per Share (Details Narrative) - shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Net (Loss) Income Per Share:
Total number of stock options, RSU, DSU, PSU and warrants excluded for diluted earnings per share	19,261,204	16,068,993

Net (Loss) Income Per Share (Tables)

3 Months Ended

Mar. 31, 2026

Net (Loss) Income Per Share:

Schedule of Basic and Diluted Earnings Per Share

The table below sets forth the computation of basic and diluted (loss) earnings per share (in thousands, except per share data):

	2026			2025
	Three Months Ended March 31,
	2026			2025
Numerator:
Net (loss) income	$	(3,089	)	$	58
Denominator:
Basic – weighted average shares outstanding		140,058,787			139,068,831
Effect of dilutive securities:
Employee restricted stock units and deferred stock units		—			4,266,283
Diluted – weighted average shares outstanding		140,058,787			143,335,114
Basic (loss) earnings per share		(0.02	)		0.00
Diluted (loss) earnings per share		(0.02	)		0.00

Debt (Tables)

3 Months Ended

Mar. 31, 2026

Debt Disclosure [Abstract]

Schedule of Long-term Debt

Long-term debt consists of the following (in thousands):

Schedule of Long-term Debt

	March 31, 2026			December 31, 2025
Amounts due under term loan	$	11,159		$	14,000
Accrued end-of-term payments		905			817
Less: unamortized debt issuance costs		(249	)		(291	)
Less: current portion of long-term debt		(3,720	)		(3,500	)
Long-term debt, less issuance costs and current portion of long-term debt	$	8,095		$	11,026

Schedule of Principal Payments

As of March 31, 2026, scheduled principal payments for our term credit agreement are as follows (in thousands):

Schedule of Principal Payments

Period	Scheduled Quarterly Payments		Annually
Remainder of 2026	$	930	$	2,790
2027		930		3,720
2028		930		3,720
2029		930		930

Schedule of Basic and Diluted Earnings Per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Net (Loss) Income Per Share:
Net (loss) income	$ (3,089)	$ 58
Basic – weighted average shares outstanding	140,058,787	139,068,831
Employee restricted stock units and deferred stock units		4,266,283
Diluted – weighted average shares outstanding	140,058,787	143,335,114
Basic (loss) earnings per share	$ (0.02)	$ 0.00
Diluted (loss) earnings per share	$ (0.02)	$ 0.00

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

+ References

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-Section 50
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+ Details

- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

+ References

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The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

Sale of Coflex/CoFix Assets and International Hardware Business

3 Months Ended

Mar. 31, 2026

Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]

Sale of Coflex/CoFix Assets and International Hardware Business

(2) Sale of Coflex/CoFix Assets and International Hardware Business

On December 1, 2025, we completed the sale of certain assets relating to our Coflex and CoFix products (the “Coflex/CoFix Divestiture”) to Companion Spine, LLC and one of its affiliates, Companion Spine SAS (collectively, “Companion Spine”), pursuant to an Asset Purchase Agreement dated July 7, 2025 (the “Coflex/CoFix Agreement”). The total purchase price of the Coflex/CoFix Divestiture was $17.5 million (subject to a closing inventory valuation adjustment set forth in the Coflex/CoFix Agreement). Of the total purchase price, an aggregate of $7.5 million was previously paid to us in cash as non-refundable deposits during third and fourth quarters of 2025, $1.8 million was paid to us in cash at the closing, and $8.2 million was paid to us as an unsecured promissory note issued by Companion Spine to us the closing (the “Companion Spine Note”). Pursuant to subsequent amendments to the Coflex/CoFix Agreement, the maturity date of the Companion Spine Note was extended to January 31, 2026. The outstanding principal balance of the Companion Spine Note, together with the related accrued interest, totaling $8.5 million, was paid to us on February 27, 2026.

Also, on December 1, 2025, we completed the sale of all of our shares of equity securities of Paradigm Spine GmbH, one of our then wholly owned subsidiaries engaged in the operation of our hardware business outside of the United States (“Paradigm”), which constituted 100% of the issued and outstanding shares of equity securities of Paradigm (the “Paradigm Divestiture” and together with the Coflex/CoFix Divestiture, the “Divestitures”), to Companion Spine pursuant to an Equity Purchase Agreement dated July 7, 2025 between us, Paradigm and Companion Spine (the “Paradigm Agreement” and together with the Coflex/CoFix Agreement, the “Divestiture Agreements”). The total purchase price of the Paradigm Divestiture was $3.9 million, $1.7 million of which was paid to us in cash at the closing of the Paradigm Divestiture and $2.2 million of which was paid to us on February 27, 2026 in settlement of the net working capital and other purchase price adjustments.

The aggregate purchase price associated with the two Divestitures was $21.4 million.

The Company determined that the Divestitures do not meet the criteria for classification as discontinued operations for accounting purposes. As a result, all historical operating results for the Coflex/CoFix assets and international hardware business are reflected within the consolidated statements of operations in the consolidated financial statements.

- Definition

The entire disclosure for business combination.

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+ Details

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Operating activities:
Net (loss) income	$ (3,089)	$ 58
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:
Depreciation and amortization	534	1,074
Gain on sale of fixed assets	(14)	(37)
Non-cash interest	129	163
Stock-based compensation	746	758
Provision for reserve on accounts receivable	180	243
Provision for excess and obsolete inventory	922	541
Other	2	(3)
Changes in operating assets and liabilities:
Accounts receivable	444	(3,114)
Inventories	(1,611)	(535)
Prepaid and other assets	152	280
Accounts payable	1,641	(890)
Accrued liabilities	(2,150)	2,740
Net cash (used in) provided by operating activities	(2,114)	1,278
Investing activities:
Purchases of property and equipment	(194)	(1,191)
Proceeds from sale of fixed assets	46	48
Proceeds from divestitures	10,368
Net cash provided by (used in) investing activities	10,220	(1,143)
Financing activities:
Borrowings on line of credit	1,630	25,158
Repayments on line of credit	(12,045)	(26,017)
Payments on long-term debt	(2,841)
Debt issuance costs		(34)
Payments on financing leases	(9)	(17)
Payment of taxes from withholding of common stock on settlement of restricted stock units	(10)	(9)
Net cash used in financing activities	(13,275)	(919)
Effect of exchange rate changes on cash and cash equivalents and restricted cash	(2)	(2)
Net change in cash and cash equivalents and restricted cash	(5,171)	(786)
Cash and cash equivalents and restricted cash at beginning of period	17,328	6,221
Cash and cash equivalents and restricted cash at end of period	12,157	5,435
Reconciliation of cash and cash equivalents and restricted cash reported in the condensed consolidated balance sheets
Cash and cash equivalents	12,137	5,032
Restricted cash	20	403
Total cash and restricted cash reported in condensed consolidated balance sheets	$ 12,157	$ 5,435

Condensed Consolidated Statements of Equity (Unaudited) - USD ($) $ in Thousands	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	AOCI Attributable to Parent [Member]	Retained Earnings [Member]
Balance at Dec. 31, 2024	$ 42,963		$ 302,738	$ (316)	$ (259,459)
Balance, shares at Dec. 31, 2024		139,045,664
Common stock issued on settlement of restricted stock units
Common stock issued on settlement of restricted stock units, shares		44,496
Withholding of common stock upon settlement of restricted stock units	(9)		(9)
Withholding of common stock upon settlement of restricted stock units, shares		(7,986)
Stock-based compensation	758		758
Foreign currency translation adjustment	107			107
Net income (loss)	58				58
Balance at Mar. 31, 2025	43,877		303,487	(209)	(259,401)
Balance, shares at Mar. 31, 2025		139,082,174
Balance at Dec. 31, 2025	50,953		305,439		(254,486)
Balance, shares at Dec. 31, 2025		140,039,557
Common stock issued on settlement of restricted stock units
Common stock issued on settlement of restricted stock units, shares		44,496
Withholding of common stock upon settlement of restricted stock units	(10)		(10)
Withholding of common stock upon settlement of restricted stock units, shares		(15,793)
Stock-based compensation	746		746
Foreign currency translation adjustment	(1)			(1)
Net income (loss)	(3,089)				(3,089)
Balance at Mar. 31, 2026	$ 48,599		$ 306,175	$ (1)	$ (257,575)
Balance, shares at Mar. 31, 2026		140,068,260

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

- Definition

Total number of shares issued during the period, including shares forfeited, as a result of Restricted Stock Awards.

+ References + Details

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Aggregate value of stock related to Restricted Stock Awards issued during the period.

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+ Details

- Definition

Amount of equity (deficit) attributable to parent. Excludes temporary equity and equity attributable to noncontrolling interest.

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+ Details

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Statement of Financial Position [Abstract]
Allowance for credit losses, net	$ 2,115	$ 2,165
Preferred stock, par value	$ 0.000001	$ 0.000001
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value	$ 0.000001	$ 0.000001
Common stock, shares authorized	300,000,000	300,000,000
Common stock, shares issued	140,068,260	140,039,557
Common stock, shares outstanding	140,068,260	140,039,557

Revenue (Tables)

3 Months Ended

Mar. 31, 2026

Revenue from Contract with Customer [Abstract]

Summary of Revenues from Product Lines

The following table presents revenues from these product lines for the three months ended March 31, 2026 and 2025 (in thousands):

Summary of Revenues from Product Lines

	Three Months Ended		Percentage of			Three Months Ended		Percentage of
	March 31, 2026		Total Revenue			March 31, 2025		Total Revenue
Orthobiologics	$	15,609		75	%	$	18,074		55	%
Spinal implant		5,275		25	%		11,210		34	%
License revenue		—		—	%		3,620		11	%
Total revenue	$	20,884		100	%	$	32,904		100	%

Subsequent Event

3 Months Ended

Mar. 31, 2026

Subsequent Events [Abstract]

Subsequent Event

(17) Subsequent Event

On April 13, 2026, we announced that we entered into a Distribution Agreement (the “Distribution Agreement”) with Dilon Technologies, Inc. (“Dilon”) pursuant to which we obtained the exclusive rights to import, market, distribute and sell the HEMOBLAST^® Bellows product in the United States. The HEMOBLAST^® Bellows product is an FDA-approved powder-based, topical, surgical hemostatic agent used to control bleeding during surgical procedures. In connection therewith, we hired approximately 20 Dilon sales personnel to assist in the sale of the HEMOBLAST^® Bellows product in the United States. Under the terms of the Distribution Agreement, Dilon will continue to manufacture the HEMOBLAST^® Bellows product from its current manufacturing location in France and will supply and sell it to us at a specified transfer price as provided in the Distribution Agreement, which price is subject to change under the terms of the Distribution Agreement. The Distribution Agreement does not contain any minimum purchase requirements. Under the terms of the Distribution Agreement, we paid Dilon a $5.0 million exclusivity fee, which fee is subject to repayment by Dilon under certain circumstances, including upon a termination of the Distribution Agreement, which agreement can be terminated by either party upon certain specified events.

Debt

3 Months Ended

Mar. 31, 2026

Debt Disclosure [Abstract]

Debt

(9) Debt

Long-term debt consists of the following (in thousands):

Schedule of Long-term Debt

	March 31, 2026			December 31, 2025
Amounts due under term loan	$	11,159		$	14,000
Accrued end-of-term payments		905			817
Less: unamortized debt issuance costs		(249	)		(291	)
Less: current portion of long-term debt		(3,720	)		(3,500	)
Long-term debt, less issuance costs and current portion of long-term debt	$	8,095		$	11,026

As of March 31, 2026, scheduled principal payments for our term credit agreement are as follows (in thousands):

Schedule of Principal Payments

Period	Scheduled Quarterly Payments		Annually
Remainder of 2026	$	930	$	2,790
2027		930		3,720
2028		930		3,720
2029		930		930

As of March 31, 2026, the effective rate of the term loan under our term credit agreement, inclusive of authorization of debt issuance costs and accretion of the final payment, was 14.79%, and the effective rate of the revolving loan under our revolving credit agreement was 10.28%. As of March 31, 2026, we had $0.4 million outstanding and $11.8 million of availability under our revolving credit facility.

The credit agreements contain affirmative and negative covenants customarily applicable to senior secured credit facilities, including covenants that, among other things, limit or restrict the ability of certain subsidiaries of the Company, as borrowers (the “Borrowers”), subject to negotiated exceptions, to incur additional indebtedness and additional liens on their assets, engage in mergers or acquisitions or dispose of assets, pay dividends or make other distributions, voluntarily prepay other indebtedness, enter into transactions with affiliated persons, make investments, and change the nature of their businesses. In addition, the credit agreements require the Borrowers and the Company to maintain net product revenue at or above minimum levels and to maintain a certain minimum liquidity level, in each case as specified in the credit agreements.

On March 26, 2026, we entered into Amendment No. 4 to Amended and Restated Credit, Security and Guaranty Agreement (Term Loan) with MidCap Financial Trust and Amendment No. 4 to Amended and Restated Credit, Security and Guaranty Agreement (Revolving Loan) with MidCap Funding IV Trust pursuant to which we eliminated the requirement to comply with the minimum net revenue covenant for fourth quarter of 2025, adjusted the amortization of the term loan to have amortization calculated off the amount of principal outstanding when amortization payments start instead of the original principal amount of the term loan, and revised the minimum net revenue covenant to align solely with revenue generated from the orthobiologics products and correspondingly adjust the minimum net revenue amounts.

As of March 31, 2026, we were in compliance with all applicable covenants under the credit agreements.

Each of the Borrowers, and the Company, as guarantor, are jointly and severally liable for all of the obligations under the facilities on the terms set forth in the credit agreements. The Borrowers’ obligations, and the Company’s obligations as a guarantor, under the credit agreements are secured by first-priority liens on substantially all of their assets, including, without limitation, all inventory, equipment, accounts, intellectual property and other assets of the Company and the Borrowers.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

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+ Details

Business Description, Basis of Presentation and Summary of Significant Accounting Policies (Policies)	3 Months Ended
	Mar. 31, 2026
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Business Description and Basis of Presentation	Business Description and Basis of Presentation The accompanying condensed consolidated financial statements include the accounts of Xtant Medical Holdings, Inc. (“Xtant”), a Delaware corporation, and its wholly owned subsidiaries, which are jointly referred to herein as “Xtant” or the “Company”. The terms “we,” “us” and “our” also refer to Xtant. All intercompany balances and transactions have been eliminated in consolidation. Xtant is a global medical technology company focused on the design, development, and commercialization of a comprehensive portfolio of orthobiologics and spinal implant fixation systems to facilitate spinal fusion in complex spine, deformity, and degenerative procedures. The accompanying condensed consolidated balance sheet as of December 31, 2025, which has been derived from audited financial statements, and the unaudited interim condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”). They do not include all disclosures required by generally accepted accounting principles for annual consolidated financial statements, but in the opinion of management include all adjustments, consisting only of normal recurring items, necessary for a fair presentation. Interim results are not necessarily indicative of results that may be achieved in the future for the full year ending December 31, 2026. These condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto, which are included in Xtant’s Annual Report on Form 10-K for the year ended December 31, 2025. The accounting policies set forth in those annual consolidated financial statements are the same as the accounting policies utilized in the preparation of these condensed consolidated financial statements, except as modified for appropriate interim consolidated financial statement presentation.
Use of Estimates	Use of Estimates The preparation of the condensed consolidated financial statements requires management of the Company to make a number of estimates and assumptions relating to the reported amount of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenue and expenses during the period. Significant estimates include the carrying amount of property and equipment; goodwill, intangible assets and liabilities; valuation allowances for trade receivables, inventory, deferred income tax assets and liabilities; current and long-term lease obligations and corresponding right-of-use asset; and estimates for the fair value of long-term debt, stock options and other equity awards upon which the Company determines stock-based compensation expense. Actual results could differ from those estimates.
Cash, Cash Equivalents, and Restricted Cash	Cash, Cash Equivalents, and Restricted Cash The Company considers all highly liquid investments purchased with an original maturity date of three months or less to be cash equivalents. Cash equivalents are recorded at cost, which approximates market value. The Company maintains its cash balances primarily with two financial institutions. These balances generally exceed federally insured limits. The Company has not experienced any losses in such accounts and believes it is not exposed to any significant credit risk in cash and cash equivalents. Cash and cash equivalents classified as restricted cash on the Company’s condensed consolidated balance sheets are restricted as to withdrawal or use under the terms of certain contractual agreements. The March 31, 2026 and December 31, 2025 balances included lockbox deposits that are temporarily restricted due to timing at the period end. The lockbox deposits are applied against the Company’s line of credit the next business day.
Long-Lived Assets	Long-Lived Assets The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recovered. No impairments of long-lived assets were recorded for the three months ended March 31, 2026 and 2025.
Goodwill	Goodwill Goodwill represents the excess of costs over fair value of assets of businesses acquired. Goodwill and intangible assets acquired in a purchase business combination and determined to have indefinite useful lives are not amortized. Instead, they are tested for impairment at least annually, and whenever events or circumstances indicate, the carrying amount of the asset may not be recoverable. No impairments of goodwill were recorded for the three months ended March 31, 2026 and 2025.
Stock-Based Compensation	Stock-Based Compensation The Company accounts for stock-based compensation in accordance with Financial Accounting Standards Board, or FASB, Accounting Standards Codification (“ASC”) 718, Compensation-Stock Compensation. ASC 718 requires the recognition of compensation expense, using a fair-value based method, for costs related to all stock-based payments including stock options, restricted stock units, performance stock units, and shares issued under its employee stock purchase plan. ASC 718 requires companies to estimate the fair value of all share-based payment option awards on the date of grant using an option pricing model. The fair value of stock options is recognized over the period during which an optionee is required to provide services in exchange for the option award, known as the requisite service period (usually the vesting period), on a straight-line basis. The Company accounts for option forfeitures as they occur. The Company accounts for stock-based compensation for restricted stock units and deferred stock units at their fair value, based on the closing market price of the Company’s common stock on the date of grant. These costs are recognized on a straight-line basis over the requisite service period, which is usually the vesting period. The Company accounts for stock-based compensation for performance stock units with market-based conditions at their fair value on the date of the award using the Monte Carlo simulation model. These costs are recognized over the requisite service period, which is usually the vesting period, regardless of the likelihood of achievement of the market-based performance criteria.
Recently Issued Accounting Pronouncements	Recently Issued Accounting Pronouncements In November 2024, the Financial Accounting Standards Board issued ASU 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40). This ASU requires that public business entities disclose additional information about specific expense categories in the notes to financial statements at interim and annual reporting periods. The prescribed categories include purchases of inventory, employee compensation, depreciation, intangible asset amortization, and depletion. This authoritative guidance is effective for annual periods beginning after December 15, 2026 and interim periods beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the effect of this new guidance on its consolidated financial statements.
Foreign Currency	Foreign Currency The Company generates revenues outside the United States in multiple foreign currencies including euros, Swiss francs, British pounds and in U.S. dollar-denominated transactions conducted with customers who generate revenue in currencies other than the U.S. dollar. The Company also incurs operating expenses in euros, Swiss francs and British pounds. All assets and liabilities of foreign subsidiaries which have a functional currency other than the U.S. dollar are translated at the rate of exchange at period-end, while elements of the income statement are translated at the average exchange rates in effect during the period. The net effect of these translation adjustments is shown as a component of accumulated other comprehensive income (loss). Foreign currency transaction gains and losses are reported in unrealized foreign currency translation (loss) gain.
Fair Value of Financial Instruments	Fair Value of Financial Instruments The carrying values of financial instruments, including trade accounts receivable, note receivable, accounts payable, accrued liabilities and long-term debt, approximate their fair values based on terms and related interest rates as of March 31, 2026 and December 31, 2025.

Condensed Consolidated Statements of Comprehensive (Loss) Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Income Statement [Abstract]
Net (Loss) Income	$ (3,089)	$ 58
Other Comprehensive (Loss) Income
Foreign currency translation adjustments	(1)	107
Comprehensive (Loss) Income	$ (3,090)	$ 165

- Definition

Amount after tax of increase (decrease) in equity from transactions and other events and circumstances from net income and other comprehensive income, attributable to parent entity. Excludes changes in equity resulting from investments by owners and distributions to owners.

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- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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Accrued Liabilities (Tables)

3 Months Ended

Mar. 31, 2026

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities

Accrued liabilities consist of the following (in thousands):

Schedule of Accrued Liabilities

	March 31, 2026		December 31, 2025
Wages/commissions payable	$	6,238	$	6,726
Taxes payable		1,830		2,183
Other accrued liabilities		407		1,717
Accrued liabilities	$	8,475	$	10,626

Schedule of PSU Awards Activity (Details) - Performance Shares [Member] - 2023 Equity Incentive Plan [Member] - $ / shares	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares Outstanding, Beginning balance	3,340,111	1,640,709
Weighted Average Fair Value at Grant Date Per Share, Outstanding, Beginning balance	$ 1.16	$ 1.49
Shares, Forfeited	(122,768)
Weighted Average Fair Value, Forfeited	$ 1.49
Shares Outstanding, Ending balance	3,217,343	1,640,709
Weighted Average Fair Value at Grant Date Per Share, Outstanding, Ending balance	$ 1.15	$ 1.49

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Commitments and Contingencies

3 Months Ended

Mar. 31, 2026

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

(12) Commitments and Contingencies

Litigation

We may be subject to potential liabilities under government regulations and various claims and legal actions that are pending but we believe are immaterial at this time or may be asserted in the future from time to time.

These matters arise in the ordinary course and conduct of our business and may include, for example, commercial, product liability, intellectual property, and employment matters. We intend to continue to defend the Company vigorously in such matters and when warranted, take legal action against others. Furthermore, we regularly assess contingencies to determine the degree of probability and range of possible loss for potential accrual in our financial statements. An estimated loss contingency is accrued in our financial statements if it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. Based on our assessment, we have adequately accrued an amount for contingent liabilities currently in existence. We do not accrue amounts for liabilities that we do not believe are probable or that we consider immaterial to our overall financial position. Litigation is inherently unpredictable, and unfavorable resolutions could occur. As a result, assessing contingencies is highly subjective and requires judgment about future events. The amount of ultimate loss may exceed the Company’s current accruals, and it is possible that its cash flows or results of operations could be materially affected in any particular period by the unfavorable resolution of one or more of these contingencies.

Indemnification Arrangements

Our indemnification arrangements generally include limited warranties and certain provisions for indemnifying customers against liabilities if our products or services infringe a third-party’s intellectual property rights. To date, we have not incurred any material costs as a result of such warranties or indemnification provisions and have not accrued any liabilities related to such obligations in the accompanying consolidated financial statements.

We have also agreed to indemnify our directors and executive officers for costs associated with any fees, expenses, judgments, fines, and settlement amounts incurred by any of these persons in any action or proceeding to which any of those persons is, or is threatened to be, made a party by reason of the person’s service as a director or officer, including any action by us, arising out of that person’s services as our director or officer or that person’s services provided to any other company or enterprise at our request.