X0508 4 2025-11-15 0 0001453593 Xtant Medical Holdings, Inc. XTNT 0001509284 Lipschultz Tyler 664 CRUISER LANE BELGRADE MT 59714 1 0 0 0 0 Common Stock 2025-11-15 4 A 0 158228 0 A 158228 D These shares are subject to a deferred stock unit (DSU) award granted under the Xtant Medical Holdings, Inc. Amended and Restated 2023 Equity Incentive Plan and will vest on November 15, 2026, conditioned upon the Reporting Person remaining a director of Xtant through the vesting date. The settlement of the vested shares underlying the DSU award has been deferred and will occur at a later date pursuant to the terms of the DSU award agreement. Each DSU represents a contingent right to receive one share of the Issuer's common stock. Includes 158,228 shares issuable upon settlement of deferred stock units granted under the Xtant Medial Holdings, Inc. Amended and Restated 2023 Equity Incentive Plan, conditioned upon the Reporting Person remaining a director of Xtant through the vesting date. /s/ Amy Culbert, attorney-in-fact 2025-11-18