X0508 4 2026-01-15 0 0001453593 Xtant Medical Holdings, Inc. XTNT 0001902610 Neils Scott C C/O XTANT MEDICAL HOLDINGS, INC. 664 CRUISER LANE BELGRADE MT 59714 0 1 0 0 CFO and Assistant Secretary 0 Common Stock 2026-01-15 4 F 0 8084 0.65 D 843381 D These shares were withheld by the Issuer to pay tax withholding obligations upon vesting and settlement of restricted stock unit awards. Includes an aggregate of 498,914 shares issuable upon vesting and settlement of restricted stock unit (RSU) awards or DSU awards granted under the Xtant Medical Holdings, Inc. Amended and Restated 2023 Equity Incentive Plan and 62,974 shares issuable upon vesting and settlement of RSU awards granted under the Xtant Medical Holdings, Inc. Amended and Restated 2018 Equity Incentive Plan, in each case conditioned upon the Reporting Person remaining an employee of Xtant through the respective vesting dates. /s/ Amy Culbert, attorney-in-fact 2026-01-16