LLY

Eli Lilly and Company

78
Fundamentals85/ 100
Valuation62/ 100
Upside potential72/ 100
Risk potential15/ 100

LLY has the edge over XTNT overall, supported by stronger fundamentals and lower modeled downside.

XTNT

Xtant Medical Holdings, Inc.

42
Fundamentals28/ 100
Valuation50/ 100
Upside potential60/ 100
Risk potential34/ 100

XTNT's outlook is improving, though it still trails on the overall score.

LLY Fundamentals

MetricStatus
Healthy
Strong
Strong
Healthy

LLY's revenue, profitability, cash flow and balance sheet are all currently healthy.

XTNT Fundamentals

MetricStatus
Weak
Weak
Under pressure
Strong

XTNT's balance sheet is currently strong, but its revenue, profitability and cash flow are under pressure.

LLY PE Valuation

CHEAPFAIREXPENSIVE37x74x111x147x
CHEAPFAIREXPENSIVE37x74x111x147x
LevelPEPriceVs current
Cheap27x$845-41%
Forward30x$1,427—
Current46x$1,427—
Fair48x$1,466+2.7%
Expensive85x$2,612+83%

Historical ranges are pointers, not guarantees.

LLY's PE is in its fair range at 46x. If earnings grow as analysts expect, today's price would be 30x next year's earnings, in its cheap range.

XTNT PE Valuation

XTNT has no meaningful PE right now: it lost money over the past year.

LLY Forward outlook

MetricOutlook
Strongly improving
Strong growth
Strong growth
Strongly improving
Limited
Moderate

Analysts expect strong earnings and revenue growth for LLY, with profitability improving.

XTNT Forward outlook

MetricOutlook
--
Losses shrinking
Growth
Strongly improving
Limited
High

Analysts expect XTNT's losses to shrink, with revenue growing.

LLY Risk to reward

ScenarioChangePrice
Upside+39%$1,988.49
Downside-15%$1,209.08

Calculated from the latest close: $1,427.28 on Nov 12.

LLY has a better modeled risk to reward balance than XTNT, with more potential upside relative to its potential downside.

XTNT Risk to reward

ScenarioChangePrice
Upside+50%$0.42
Downside-36%$0.18

Calculated from the latest close: $0.28 on Nov 12.

XTNT trails LLY on modeled risk to reward, with less potential upside relative to its potential downside.

LLY Earnings Per Share

Q4 2023: $5.80Q1 2024: $6.79Q2 2024: $8.12Q3 2024: $9.25Q4 2024: $11.71Q1 2025: $12.29Q2 2025: $15.30Q3 2025: $20.44Q4 2025: $22.95Q1 2026: $28.15Q2 2026: $29.80Q3 2026: $30.81Forward: $46.82
Q4 2023: $5.80Q1 2024: $6.79Q2 2024: $8.12Q3 2024: $9.25Q4 2024: $11.71Q1 2025: $12.29Q2 2025: $15.30Q3 2025: $20.44Q4 2025: $22.95Q1 2026: $28.15Q2 2026: $29.80Q3 2026: $30.81Forward: $46.82
QuarterTTM EPSYoY
Forward$46.82+52%
Q3 2026$30.81+51%
Q2 2026$29.80+95%
Q1 2026$28.15+129%
Q4 2025$22.95+96%
Q3 2025$20.44+121%
Q2 2025$15.30+88%
Q1 2025$12.29+81%
Q4 2024$11.71+102%

LLY has the edge over XTNT on earnings quality, reporting a profit while its opponent remains loss making.

XTNT Earnings Per Share

Q3 2023: $0.02Q4 2023: $0.01Q1 2024: $0.00Q2 2024: $-0.01Q3 2024: $-0.12Q4 2024: $-0.12Q1 2025: $-0.09Q2 2025: $-0.04Q3 2025: $0.01Q4 2025: $0.03Q1 2026: $0.01Q2 2026: $-0.08
Q3 2023: $0.02Q4 2023: $0.01Q1 2024: $0.00Q2 2024: $-0.01Q3 2024: $-0.12Q4 2024: $-0.12Q1 2025: $-0.09Q2 2025: $-0.04Q3 2025: $0.01Q4 2025: $0.03Q1 2026: $0.01Q2 2026: $-0.08
QuarterTTM EPSYoY
Q2 2026-$0.08-$0.04
Q1 2026$0.01+$0.10
Q4 2025$0.03+$0.15
Q3 2025$0.01+$0.13
Q2 2025-$0.04-$0.03
Q1 2025-$0.09-$0.09
Q4 2024-$0.12-1300%
Q3 2024-$0.12-700%

XTNT is still losing money, but far less than before: $0.08 per share over the past year, against $5.15 at its worst in late 2019.

LLY Quarterly Revenue

Q4 2023: $9.4BQ1 2024: $8.8BQ2 2024: $11.3BQ3 2024: $11.4BQ4 2024: $13.5BQ1 2025: $12.7BQ2 2025: $15.6BQ3 2025: $17.6BQ4 2025: $19.3BQ1 2026: $19.8BQ2 2026: $23BQ3 2026: $24.4B
Q4 2023: $9.4BQ1 2024: $8.8BQ2 2024: $11.3BQ3 2024: $11.4BQ4 2024: $13.5BQ1 2025: $12.7BQ2 2025: $15.6BQ3 2025: $17.6BQ4 2025: $19.3BQ1 2026: $19.8BQ2 2026: $23BQ3 2026: $24.4B
QuarterRevenueYoY
Q3 2026$24.4B+39%
Q2 2026$23B+48%
Q1 2026$19.8B+56%
Q4 2025$19.3B+43%
Q3 2025$17.6B+54%
Q2 2025$15.6B+38%
Q1 2025$12.7B+45%
Q4 2024$13.5B+45%

LLY has the edge over XTNT on sales, with more consistent year-over-year improvement.

XTNT Quarterly Revenue

Q3 2023: $25MQ4 2023: $28MQ1 2024: $28MQ2 2024: $30MQ3 2024: $28MQ4 2024: $32MQ1 2025: $33MQ2 2025: $35MQ3 2025: $33MQ4 2025: $32MQ1 2026: $21MQ2 2026: $23M
Q3 2023: $25MQ4 2023: $28MQ1 2024: $28MQ2 2024: $30MQ3 2024: $28MQ4 2024: $32MQ1 2025: $33MQ2 2025: $35MQ3 2025: $33MQ4 2025: $32MQ1 2026: $21MQ2 2026: $23M
QuarterRevenueYoY
Q2 2026$23M-35%
Q1 2026$20.9M-37%
Q4 2025$32.4M+2.7%
Q3 2025$33.3M+19%
Q2 2025$35.4M+18%
Q1 2025$32.9M+18%
Q4 2024$31.5M+12%
Q3 2024$27.9M+12%

XTNT's revenue has slid since its 2025 peak: $23M last quarter, down 35% from the same quarter a year ago.

LLY Free Cash Flow

Q4 2023: −$1.4BQ1 2024: $180MQ2 2024: $241MQ3 2024: $2.4BQ4 2024: $978MQ1 2025: $156MQ2 2025: $1.4BQ3 2025: $6.7BQ4 2025: $678MQ1 2026: $3BQ2 2026: $7.8BQ3 2026: $8.2B
Q4 2023: −$1.4BQ1 2024: $180MQ2 2024: $241MQ3 2024: $2.4BQ4 2024: $978MQ1 2025: $156MQ2 2025: $1.4BQ3 2025: $6.7BQ4 2025: $678MQ1 2026: $3BQ2 2026: $7.8BQ3 2026: $8.2B
QuarterFree cash flowYoY
Q3 2026$8.2B+22%
Q2 2026$7.8B+458%
Q1 2026$3B+1826%
Q4 2025$677.9M-31%
Q3 2025$6.7B+186%
Q2 2025$1.4B+476%
Q1 2025$156.1M-13%
Q4 2024$977.8M+$2.4B

LLY has the edge over XTNT on cash generation, producing positive trailing cash flow while its opponent burns cash.

XTNT Free Cash Flow

Q3 2023: −$4MQ4 2023: −$1MQ1 2024: −$7MQ2 2024: −$6MQ3 2024: −$4MQ4 2024: −$7,000Q1 2025: $87,000Q2 2025: $910,000Q3 2025: $4MQ4 2025: $5MQ1 2026: −$2MQ2 2026: −$8M
Q3 2023: −$4MQ4 2023: −$1MQ1 2024: −$7MQ2 2024: −$6MQ3 2024: −$4MQ4 2024: −$7,000Q1 2025: $87,000Q2 2025: $910,000Q3 2025: $4MQ4 2025: $5MQ1 2026: −$2MQ2 2026: −$8M
QuarterFree cash flowYoY
Q2 2026-$7.6M-930%
Q1 2026-$2.3M-2753%
Q4 2025$5M+$5M
Q3 2025$4.2M+$8M
Q2 2025$910K+$6.6M
Q1 2025$87K+$6.6M
Q4 2024-$7K+$1.3M
Q3 2024-$3.8M+$235K

XTNT has burned cash in most quarters: −$696,000 over the past year, against −$3M the year before.

LLY Total Shares

Q4 2023: 903MQ1 2024: 904MQ2 2024: 904MQ3 2024: 905MQ4 2024: 904MQ1 2025: 901MQ2 2025: 900MQ3 2025: 899MQ4 2025: 899MQ1 2026: 896MQ2 2026: 894MQ3 2026: 893M
Q4 2023: 903MQ1 2024: 904MQ2 2024: 904MQ3 2024: 905MQ4 2024: 904MQ1 2025: 901MQ2 2025: 900MQ3 2025: 899MQ4 2025: 899MQ1 2026: 896MQ2 2026: 894MQ3 2026: 893M
PeriodChange %Net change
Quarterly0%-300K shares
1 year-0.6%-5.4M shares
3 years-0.7%-6.4M shares
5 years-1.9%-17.4M shares
Available history-4.5%-42.3M shares

LLY has 893M diluted shares, down 0.6% from a year ago.

XTNT Total Shares

Q3 2023: 136MQ4 2023: 127MQ1 2024: 130MQ2 2024: 130MQ3 2024: 135MQ4 2024: 134MQ1 2025: 143MQ2 2025: 149MQ3 2025: 150MQ4 2025: 150MQ1 2026: 140MQ2 2026: 140M
Q3 2023: 136MQ4 2023: 127MQ1 2024: 130MQ2 2024: 130MQ3 2024: 135MQ4 2024: 134MQ1 2025: 143MQ2 2025: 149MQ3 2025: 150MQ4 2025: 150MQ1 2026: 140MQ2 2026: 140M
PeriodChange %Net change
Quarterly+0.1%+200K shares
1 year-5.6%-8.3M shares
3 years+29%+31.4M shares
5 years+62%+53.6M shares
Available history+966%+127M shares

XTNT has the edge over LLY on shareholder dilution, with a more favorable share count trend.

LLY Net Leverage

Q4 2023: 2.8xQ1 2024: 2.6xQ2 2024: 2.4xQ3 2024: 2.4xQ4 2024: 2.1xQ1 2025: 2.3xQ2 2025: 2.0xQ3 2025: 1.3xQ4 2025: 1.3xQ1 2026: 1.2xQ2 2026: 1.3xQ3 2026: 1.2x
Q4 2023: 2.8xQ1 2024: 2.6xQ2 2024: 2.4xQ3 2024: 2.4xQ4 2024: 2.1xQ1 2025: 2.3xQ2 2025: 2.0xQ3 2025: 1.3xQ4 2025: 1.3xQ1 2026: 1.2xQ2 2026: 1.3xQ3 2026: 1.2x
QuarterNet LeverageStatus
Q3 20261.2xHealthy
Q2 20261.3xHealthy
Q1 20261.2xHealthy
Q4 20251.3xHealthy
Q3 20251.3xHealthy
Q2 20252.0xHealthy
Q1 20252.3xModerate
Q4 20242.1xModerate

LLY's net debt is about 1.2 years of its operating earnings (EBITDA), about the same as a year ago.

XTNT Net Leverage

Q2 2025: 3.4xQ3 2025: 0.6xQ4 2025: -0.2xQ1 2026: -0.0x
Q2 2025: 3.4xQ3 2025: 0.6xQ4 2025: -0.2xQ1 2026: -0.0x
QuarterNet LeverageStatus
Q1 2026-0.0xNet Cash
Q4 2025-0.2xNet Cash
Q3 20250.6xVery low
Q2 20253.4xElevated
Q2 2021-4.0xNet Cash
Q1 2021-0.9xNet Cash
Q4 202010.9xHigh
Q3 202066.6xHigh

XTNT has more cash than debt.

LLY Weekly Momentum

MetricValueStatus
RSI68.3Neutral
Stochastic84.1Overbought

LLY's weekly RSI is 68 (neutral) and its Stochastic is 84 (overbought).

XTNT Weekly Momentum

MetricValueStatus
RSI34.1Neutral
Stochastic5.3Oversold

XTNT's weekly RSI is 34 (neutral) and its Stochastic is 5 (oversold).

LLY PE vs Healthcare Sector

MetricLLYSector medianRelative
PE46x26x79% above
PE %482919 pts above

LLY is trading at 46x earnings, a 79% premium to the Healthcare sector's median of 26x.

XTNT PE vs Healthcare Sector

MetricXTNTSector medianRelative
PEN/A26x—

XTNT has no meaningful PE right now: it lost money over the past year.

LLY Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$1,279.412% above
20 week MA$1,218.817% above
50 week MA$1,102.229% above
100 week MA$954.150% above
200 week MA$797.579% above

LLY has the edge over XTNT on trend strength, trading above more of its moving averages.

XTNT Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$0.319.7% below
20 week MA$0.3520% below
50 week MA$0.4943% below
100 week MA$0.5448% below
200 week MA$0.6959% below

XTNT is in a downtrend: it's below all five of its weekly moving averages, and 59% below its 200-week average.

LLY Yearly ROI

YearStart priceEnd priceROI
2020$131.5$166.7+27%
2021$166.7$273.1+64%
2022$273.1$367.9+35%
2023$367.9$582.9+58%
2024$582.9$783.2+34%
2025$783.2$1,077.8+38%
2026 YTD$1,077.8$1,427.3+32%

LLY has the edge over XTNT on returns for 2026, with the stronger performance.

XTNT Yearly ROI

YearStart priceEnd priceROI
2020$1.67$1.20-28%
2021$1.20$0.66-45%
2022$0.66$0.660%
2023$0.66$1.13+71%
2024$1.13$0.46-59%
2025$0.46$0.78+70%
2026 YTD$0.78$0.28-64%

XTNT has finished lower in four of the last six years. It's down 64% so far in 2026.

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