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Xtant Medical Holdings, Inc.

For the period ended Jun 23, 2026. Filed Jun 23, 2026.

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About this filing

What shareholders are asked to vote on at a company's meeting. It is where to find what directors and top executives are paid, and who owns the most shares.

Jun 23, 2026 · Filed Jun 23, 2026

XTNT$0.29-3.5%Stored close · as of Nov 6, 2026
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 14A INFORMATION

Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934

(Amendment No. )

Filed by the Registrant ☒

Filed by a Party other than the Registrant ☐

Check the appropriate box:

☐Preliminary Proxy Statement
☐Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))
☒Definitive Proxy Statement
☐Definitive Additional Materials
☐Soliciting Material under §240.14a-12

Xtant Medical Holdings, Inc.

(Name of Registrant as Specified In Its Charter)

(Name of Person(s) Filing Proxy Statement, if other than the Registrant)

Payment of Filing Fee (Check all boxes that apply):

☒No fee required
☐Fee paid previously with preliminary materials
☐Fee computed on table in exhibit required by Item 25(b) per Exchange Act Rules 14a-6(i)(1) and 0-11

NOTICE OF ANNUAL MEETING OF STOCKHOLDERS TO BE HELD AUGUST 7, 2026

To Our Stockholders:

You are invited to attend the Annual Meeting of Stockholders of Xtant Medical Holdings, Inc. on August 7, 2026 at 8:00 a.m., Eastern Time, at the offices of Jones Day, located at 250 Vesey Street, New York, New York 10281, for the following purposes:

1.To elect the six nominees named in the accompanying proxy statement to serve as directors until the next annual meeting of stockholders and until their respective successors have been duly elected and qualified;
2.To ratify the appointment of Grant Thornton LLP as our independent registered public accounting firm for the year ending December 31, 2026;
3.To approve, on an advisory (non-binding) basis, the compensation of our executive officers named in the accompanying proxy statement; and
4.To transact such other business as may properly be brought before the Annual Meeting and any adjournment or postponement thereof.

Stockholders of record at the close of business on June 9, 2026 shall be entitled to notice of and to vote at the Annual Meeting and any adjournments or postponements thereof. A stockholder list will be available at our corporate offices beginning July 18, 2026 during normal business hours for examination by any stockholder registered on our stock ledger as of the record date for any purpose germane to the Annual Meeting.

Your vote is important. Please submit a proxy as soon as possible so your shares can be voted at the Annual Meeting.

By Order of the Board of Directors

Stavros G. Vizirgianakis Chairman of the BoardSean E. Browne President and Chief Executive Officer

Belgrade, Montana

June 23, 2026

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TABLE OF CONTENTS

Page
QUESTIONS AND ANSWERS ABOUT THE PROXY MATERIALS AND THE ANNUAL MEETING1
PROPOSAL one—ELECTION OF DIRECTORS7
Board Size and Structure7
Current Directors and Nominees for Director7
Additional Information About Director Nominees7
Board Recommendation9
GENERAL INFORMATION ABOUT THE BOARD OF DIRECTORS AND CORPORATE GOVERNANCE10
Corporate Governance Guidelines10
Director Independence10
Board Leadership Structure10
Board Meetings10
Board Committees11
Director Nomination Process13
Board Qualifications13
New Director Orientation and Continuing Education14
Risk Oversight14
Insider Trading Policy14
Code of Ethics and Code of Conduct14
Stockholder Communications14
DIRECTOR COMPENSATION15
Director Compensation Program15
Director Compensation Table for Fiscal 202516
PROPOSAL two—RATIFICATION OF APPOINTMENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM17
Appointment of Independent Registered Public Accounting Firm17
Audit and Non-Audit Fees17
Pre-Approval Policy18
Audit Committee Report18
Board Recommendation18
PROPOSAL three—advisory vote on executive compensation19
Background19
Why You Should Vote in Favor of Our Say-On-Pay Proposal19
Proposed Resolution19
Next Say-On-Pay Vote19
Board Recommendation19
EXECUTIVE COMPENSATION20
Executive Officers20
Overview21
Elements of Our Executive Compensation Program21
Summary Compensation Table22
Executive Employment and Other Agreements23
401(k) Retirement Plan24
Outstanding Equity Awards at Fiscal Year-End24
Policies and Practices Related to the Grant of Certain Equity Awards Close to Time to the Release of Material Nonpublic Information25
Xtant Medical Holdings, Inc. 2023 Equity Incentive Plan26
Potential Payments upon Termination or Change in Control26
Pay Versus Performance Disclosure28

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TRANSACTIONS WITH RELATED PERSONS, PROMOTERS, AND CERTAIN CONTROL PERSONS33
Policies and Procedures for Review and Approval of Related Party Transactions33
Related Party Transactions33
Family Relationships33
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT34
Significant Beneficial Owners34
Security Ownership of Management35
Clawback Policy36
Anti-Hedging and Anti-Pledging Policy36
ADDITIONAL INFORMATION37
Stockholder Proposals and Director Nominations for 2027 Annual Meeting of Stockholders37
Householding Information37
Incorporation by Reference38

References in this proxy statement to:

●“Xtant,” “we,” “us,” “our,” or the “Company” refer to Xtant Medical Holdings, Inc.;
●“Board” refers to the Board of Directors of Xtant;
●“Annual Meeting” refers to our 2026 Annual Meeting of Stockholders; and
●“2025 Annual Report” or “2025 Annual Report to Stockholders” refer to our Annual Report on Form 10-K for the year ended December 31, 2025, being made available together with this proxy statement.

Information on our website and any other website referenced herein is not incorporated by reference into, and does not constitute a part of, this proxy statement.

™ and ® denote trademarks and registered trademarks of Xtant Medical Holdings, Inc. or our affiliates, registered as indicated in the United States. All other trademarks and trade names referred to in this release are the property of their respective owners.

ii

XTANT MEDICAL HOLDINGS, INC.

664 Cruiser Lane

Belgrade, Montana 59714

(406) 388-0480

PROXY STATEMENT FOR THE ANNUAL MEETING OF STOCKHOLDERS

TO BE HELD ONAUGUST 7, 2026

Important Notice Regarding the Availability of Proxy Materials for the

Annual Meeting of Stockholders to be held on Friday, August 7, 2026

This proxy statement and our 2025 Annual Report of Stockholders are available on the Internet, free of charge, at www.proxyvote.com commencing on or about June 23, 2026. On this website, you will be able to access this proxy statement, our 2025 Annual Report, and any amendments or supplements to these materials that are required to be furnished to stockholders. We encourage you to access and review all of the important information contained in the proxy materials before voting. We will mail paper copies of these materials, together with a proxy card, within three business days of a request properly made by a stockholder entitled to vote at the 2026 Annual Meeting of Stockholders.

ContentsView on SEC.gov

The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.