Strong 2025 growth at SI-BONE (NASDAQ: SIBN) with positive EBITDA
Filing Impact
Filing Sentiment
Form Type
8-K
Rhea-AI Filing Summary
SI-BONE, Inc. reported strong fourth quarter and full-year 2025 results with improving profitability and issued 2026 guidance. Worldwide revenue reached $56.3 million in Q4 2025, up 15.0%, and $200.9 million for 2025, up 20.2%, with gross margin near 79%.
Net loss narrowed to $1.6 million in Q4 and $18.9 million for 2025, while adjusted EBITDA turned positive at $5.1 million in Q4 and $8.9 million for the year. The company generated positive operating cash flow of $1.7 million and free cash flow of $0.4 million in Q4, ending 2025 with $147.8 million in cash and equivalents and $35.6 million in borrowings.
For 2026, SI-BONE guides to worldwide revenue of $228.5–$232.5 million, implying ~14–16% growth, with gross margin of about 78% and higher positive adjusted EBITDA. The company also signed a new long-term lease for larger facilities and promoted CFO Anshul Maheshwari to Chief Operating Officer.
Positive
- Strong 2025 growth and margin profile: Worldwide revenue rose to $200.9 million, up 20.2%, with gross margin at 79.6%, demonstrating high-margin expansion in its core spine and pelvic solutions business.
- Clear profitability inflection: Net loss improved to $18.9 million from $30.9 million, while adjusted EBITDA turned positive to $8.9 million in 2025 and free cash flow was positive in Q4 2025.
- Healthy 2026 outlook: Management guides 2026 worldwide revenue to $228.5–$232.5 million (~14–16% growth) with gross margin around 78% and expectations for increased positive adjusted EBITDA.
Negative
- Profitability still negative on a GAAP basis: Despite meaningful improvement, SI-BONE reported a 2025 net loss of $18.9 million and free cash flow for the full year remained negative at $9.1 million.
Insights
SI-BONE delivered >20% 2025 growth, flipped adjusted EBITDA positive, and guided to mid-teens growth in 2026.
SI-BONE posted 2025 worldwide revenue of
Profitability metrics moved sharply in the right direction. Net loss improved to
Balance sheet strength underpins the outlook, with
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
____________________________________________________________________________
FORM 8-K
____________________________________________________________________________
CURRENT REPORT
Pursuant to Section 13 or 15(d) of
the Securities Exchange Act of 1934
Date of report (Date of earliest event reported): February 20, 2026
____________________________________________________________________________
(Exact name of registrant as specified in its charter)
____________________________________________________________________________
| (State or other jurisdiction of incorporation or organization) | (Commission File Number) | (I.R.S. Employer Identification No.) | ||||||||||||
(Address of principal executive offices) (Zip Code)
(408 ) 207-0700
(Registrant’s telephone number, include area code)
N/A
(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) | |||||
| Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) | |||||
| Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) | |||||
| Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) | |||||
Securities registered pursuant to Section 12(b) of the Act:
| Title of each class | Trading Symbol(s) | Name of each exchange on which registered | ||||||
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Item 1.01. Entry into a Material Definitive Agreement.
On February 20, 2026, SI-BONE, Inc. (the “Company”) and Orchard Commons, LLC (the “Landlord”) entered into a lease agreement (the “Lease”), pursuant to which the Company will lease approximately 50,485 square feet of space located at 88 West Plumeria Drive, San Jose, California 95134 (the “Premises”).
The term of the Lease will commence on the earlier of (a) October 1, 2026 and (b) the date of the Company’s commencement of its business operations in substantially all of the Premises, and will expire on the date that is one hundred and two (102) months from such commencement date. The Company will have one option to extend the term of the Lease for an additional period of five (5) years. The Company also has a one-time right to lease the space of approximately 28,531 square feet that is contiguous to the Premises if and to the extent such space is available. The monthly base rent due under the Lease is initially $128,737 for the first year and is scheduled to increase by approximately 3% per year for each subsequent year. In addition to the base rent, the Company is required to pay its share of operating expenses, which include certain taxes, costs, expenses and disbursements. The Company is also required to provide a security deposit of $163,067 to the Landlord. Subject to customary terms and conditions set forth in the Lease, the Company is entitled to (i) rent abatement for the first six (6) months, (ii) a tenant improvement allowance of $70 per square foot, and (iii) an allowance for power upgrades of $5 per square foot. The Landlord has the right to terminate the Lease upon customary events of default.
The foregoing description of the Lease does not purport to be complete and is qualified in its entirety by reference to the full text of the Lease, a copy of which will be filed with the Securities and Exchange Commission as an exhibit to the Company’s Annually Report on Form 10-K for the fiscal year ended December 31, 2025 and incorporated herein by reference.
Item 2.02. Results of Operations and Financial Condition.
On February 23, 2026, the Company issued a press release (the “Press Release”) announcing results for the quarter and year ended December 31, 2025. A copy of the Press Release is attached as Exhibit 99.1 to this current report on Form 8-K and is incorporated by reference herein.
The information under Item 2.02 in this current report on Form 8-K and the related information in the exhibit attached hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, regardless of any general incorporation language in such filing.
Item 5.02. Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
On February 22, 2026, the Company appointed Anshul Maheshwari, the Company’s Chief Financial Officer, also as the Company’s Chief Operating Officer, effective February 22, 2026.
Mr. Maheshwari, age 46, has served as the Company’s Chief Financial Officer since April 2021. Prior to joining the Company, Mr. Maheshwari served as Vice President of Finance and Treasurer from June 2018 and Head of Investor Relations from October 2019 for Varian Medical Systems ("Varian"), a cancer care company, until its acquisition by Siemens Healthineers AG in April 2021. At Varian, he was responsible for treasury and risk management, capital markets, customer finance, financial and strategic planning and investor relations. From April 2013 to June 2014, Mr. Maheshwari served as Manager of Investments and from June 2014 to June 2018, served as Assistant Treasurer for Bechtel Corporation, an engineering and construction company, in which latter roles he was responsible for managing global treasury operations. From November 2004 to March 2013, Mr. Maheshwari served in various client facing roles within the corporate and investment bank divisions at Bank of America Merrill Lynch. Mr. Maheshwari received a M.B.A. from Boston College, Carroll Graduate School of Management and a Bachelors of Commerce from the H.R. College of Commerce in India.
There is no arrangement or understanding between Mr. Maheshwari and the Company or any other person pursuant to which Mr. Maheshwari was appointed as the Company’s Chief Operating Officer that would require disclosure under Item 401(b) of Regulation S-K under the Securities Act of 1933, as amended (the “Securities Act”). There is no family relationship between Mr. Maheshwari and any other person that would require disclosure under Item 401(d) of Regulation S-K under the Securities Act. There are no transactions involving the Company and Mr. Maheshwari that the Company would be required to report pursuant to Item 404(a) of Regulation S-K under the Securities Act.
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits
| Exhibit No. | Description | |||||||
| 99.1 | Press release dated February 23, 2026 | |||||||
| 104 | Cover Page Interactive Date File (embedded within the Inline XBRL document) | |||||||
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| SI-BONE, INC. | |||||||||||
| Date: | 02/23/2026 | By: | /s/ Anshul Maheshwari | ||||||||
| Anshul Maheshwari | |||||||||||
Chief Operating Officer & Chief Financial Officer | |||||||||||
| (Principal Financial and Accounting Officer) | |||||||||||
Exhibit 99.1
SI-BONE, Inc. Reports Record Financial Results for the Fourth Quarter 2025 and Issues 2026 Guidance
Achieves 20% worldwide revenue growth and positive adjusted EBITDA for Fiscal Year 2025
Generates free cash flow in the Fourth Quarter 2025
SANTA CLARA, Calif. February 23, 2026 - SI-BONE, Inc. (Nasdaq: SIBN), the global leader in developing procedural solutions to address clinical challenges associated with compromised bone, today reported financial results for the fourth quarter and full year ended December 31, 2025.
Fourth Quarter 2025 Financial Highlights (all comparisons are to the prior year period)
•Worldwide revenue of $56.3 million, representing growth of 15.0%
•U.S. revenue of $53.5 million, representing growth of 13.9%
•Gross margin of 79.0%
•Net loss of $1.6 million, representing an improvement of 63.3%
•Positive adjusted EBITDA of $5.1 million, representing an improvement of 176.2%
•Positive cashflow from operations of $1.7 million and positive free cash flow of $0.4 million
•Ended the quarter with $147.8 million in cash and equivalents
Fiscal Year 2025 Highlights (all comparisons are to the prior year period)
•Worldwide revenue of $200.9 million, representing growth of 20.2%
•U.S. revenue of $191.1 million, representing growth of 20.6%
•Gross margin of 79.6%
•Net loss of $18.9 million, representing an improvement of 38.8%
•Positive adjusted EBITDA of $8.9 million, representing an improvement of $14.0 million
Recent Operational (all comparisons are to the prior year period)
•~1,640 U.S. physicians performed a procedure in the fourth quarter, representing an increase of 18%
•Entered into a strategic partnership with Smith+Nephew, an orthopedics industry leader, to distribute iFuse TORQ and iFuse TORQ TNT across Level 1 and Level 2 trauma centers nationwide for pelvic trauma
•Expanded INTRA platform with the launch of INTRA Ti in February, our newest SI joint fusion solution that provides physicians procedural flexibility and workflow efficiency in ambulatory surgery centers
•U.S. patent portfolio covering the original iFuse, including the triangular shape, extended to August 2028
Organizational Update
•Anshul Maheshwari promoted to Chief Operating Officer in addition to his role as Chief Financial Officer
•As previously announced, Nikolas Kerr was promoted to the role of Chief Commercial Officer
•Jeff Zigler promoted to Senior Vice President of Market Access and Reimbursement
“In 2025, we demonstrated the strength and scalability of our business model, delivering another year of worldwide revenue growth that exceeded 20% while expanding margins and exiting the year with positive free cash flow. These results reflect disciplined execution, a differentiated platform, and durability of demand across our portfolio.” said Laura Francis, Chief Executive Officer. “As we enter 2026, we have a compelling set of growth catalysts, including favorable reimbursement dynamics, expanding commercial footprint and upcoming product launches designed to deepen physician engagement and expand our reach into a sizable new market. Together, these factors reinforce our confidence in SI-BONE's ability to sustain strong, profitable growth over the long term."
Fourth Quarter 2025 Financial Results
Worldwide revenue was $56.3 million in the fourth quarter 2025, a 15.0% increase from $49.0 million in the corresponding period in 2024. U.S. revenue for the fourth quarter 2025 was $53.5 million, a 13.9% increase from $46.9 million in the corresponding period in 2024. International revenue for the fourth quarter 2025 was $2.9 million, a 38.8% increase from $2.1 million in the corresponding period in 2024.
Gross profit was $44.5 million in the fourth quarter 2025, an increase of 14.8% from $38.8 million in the corresponding period in 2024. Gross margin was stable at 79.0% for the fourth quarter 2025 compared to 79.1% in the corresponding period in 2024.
Operating expenses increased 6.2% to $47.0 million in the fourth quarter 2025, as compared to $44.3 million in the corresponding period in 2024. The change in operating expenses was primarily driven by general commercial activity related to higher revenue and research and development investments related to future products.
Operating loss improved by 55.2% to $2.5 million in the fourth quarter 2025, as compared to an operating loss of $5.5 million in the corresponding period in 2024.
Net loss improved by 63.3%, to $1.6 million, or $0.04 per diluted share in the fourth quarter 2025, as compared to a net loss of $4.5 million, or $0.11 per diluted share in the corresponding period in 2024.
Adjusted EBITDA improved by 176.2% to positive $5.1 million in the fourth quarter 2025, as compared to a positive adjusted EBITDA of $1.9 million in the corresponding period in 2024.
Fiscal Year 2025 Financial Results
Worldwide revenue was $200.9 million for 2025, a 20.2% increase from $167.2 million in 2024. U.S. revenue for 2025 was $191.1 million, a 20.6% increase from $158.4 million in 2024. International revenue was $9.8 million in 2025, a 12.4% increase from $8.8 million in 2024.
Gross profit was $159.9 million in 2025, a 21.0% increase from $132.1 million in 2024. Gross margin was 79.6% in 2025 and 79.0% in 2024.
Operating expenses increased 8.9% to $182.2 million in 2025, as compared to $167.4 million in 2024. The change in operating expenses was primarily driven by general commercial activity related to higher revenue and research and development investments related to future products.
Operating loss improved by 36.6% to $22.3 million in 2025, as compared to an operating loss of $35.2 million in 2024.
Net loss improved by 38.8%, to $18.9 million, or $0.44 per diluted share in 2025, as compared to a net loss of $30.9 million, or $0.75 per diluted share in 2024.
Adjusted EBITDA improved to positive $8.9 million in 2025, as compared to a loss of $5.1 million in 2024, representing and improvement of $14.0 million.
Cash and equivalents were $147.8 million, representing a sequential improvement of $2.1 million, and borrowings were $35.6 million as of December 31, 2025.
2026 Financial Guidance
SI-BONE expects 2026 worldwide revenue to be in the range of $228.5 million to $232.5 million, implying year-over-year growth of ~14% to ~16%. SI-BONE estimates fiscal year 2026 gross margin to be approximately 78%, and operating expenses growth to be ~12.5% at the mid-point of the revenue guidance. Based on these assumptions, SI-BONE expects to deliver increased positive adjusted EBITDA for the full year 2026.
Webcast Information
SI-BONE will host a conference call to discuss the fourth quarter 2025 financial results after market close on Monday, February 23, 2026 at 4:30 P.M. Eastern Time. The conference call can be accessed live over webcast at https://edge.media-server.com/mmc/p/zfxy6yox. Live audio of the webcast will be available on the “Investors” section of the company’s website at: www.si-bone.com. The webcast will be archived and available for replay for at least 90 days after the event.
About SI-BONE, Inc.
SI-BONE (NASDAQ: SIBN) is a global leader in developing procedural solutions to address clinical challenges associated with compromised bone. With expertise in biomechanical design and anatomy specific innovation, SI-BONE has built a technology platform with market-leading applications centered on the spinopelvic anatomy. SI-BONE continues to leverage the deep experience in addressing the challenges of low-density bone in the sacrum to develop unique technologies that are targeting new clinical adjacencies to help improve outcomes for patients with compromised bone. Since 2009, SI-BONE has supported physicians in performing a total of over 140,000 procedures. A unique body of clinical evidence supports the use of SI-BONE's technologies, including four randomized controlled trials and over 180 peer reviewed publications.
SI-BONE® is a registered trademark of SI-BONE, Inc. ©2026 SI-BONE, Inc. All Rights Reserved.
Forward Looking Statements
The statements in this press release regarding expectations of future events or results, including SI-BONE’s expectations of continued revenue and procedure growth and financial outlook, contained in this press release are "forward-looking" statements. These forward-looking statements are based on SI-BONE's current expectations and inherently involve significant risks and uncertainties. These risks include SI-BONE's ability to introduce and commercialize new products and indications, SI-BONE's ability to maintain favorable reimbursement for procedures using its products, the impact of any future economic weakness on the ability and desire of patients to undergo elective procedures including those using SI-BONE's devices, SI-BONE's ability to manage risks to its supply chain, future capital requirements driven by new surgical systems requiring instrument tray and implant inventory investment, and the pace of the re-normalization of the healthcare operating environment including the ability and desire of patients and physicians to undergo and perform procedures using SI-BONE's devices. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of these and other risks and uncertainties, many of which are described in the company's most recent filing on Form 10-K, and the company’s other filings with the Securities and Exchange Commission (SEC) available at the SEC's Internet site (www.sec.gov), especially under the caption "Risk Factors." SI-BONE does not undertake any obligation to update forward-looking statements and expressly disclaims any obligations or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein, except as required by law.
Use of Non-GAAP Financial Measures
To supplement our condensed consolidated financial statements, which are prepared and presented in accordance with generally accepted accounting principles in the United States ("GAAP"), SI-BONE uses two non-GAAP financial measures: Adjusted EBITDA and free cash flow. Non-GAAP measures should be considered supplemental to, and not a substitute for, financial information prepared in accordance with GAAP. Adjusted EBITDA excludes the effect of items that increase or decrease SI-BONE’s reported results of operations. Free cash flow is not intended to represent our residual cash flow available for discretionary expenditures. Management strongly encourages investors to review, when they become available, the company's consolidated financial statements and publicly filed reports in their entirety. The company's definition of adjusted EBITDA and free cash flow may differ from similarly titled measures used by others.
Adjusted EBITDA excludes from net loss the effects of interest income, interest expense, depreciation and amortization, and stock-based compensation. Free cash flow is defined as net cash provided by operating activities less purchases of property and equipment. SI-BONE believes the presentation of these financial measures is useful to management because it allows management to more consistently analyze period-to-period financial performance and provides meaningful supplemental information with respect to core operational activities used to evaluate management's performance. SI-BONE also believes the presentation of non-GAAP financial measures is useful to investors and other interested persons as it enables these persons to use this additional information to assess the company’s performance in using this additional metric that management uses to assess the company’s performance.
Investor Contact
Saqib Iqbal
VP, FP&A and Investor Relations
investors@SI-BONE.com
SI-BONE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share amounts)
(Unaudited)
Three Months Ended December 31 | Twelve Months Ended December 31 | ||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||
Revenue | $ | 56,350 | $ | 49,002 | $ | 200,925 | $ | 167,178 | |||||||||||||||
Cost of goods sold | 11,818 | 10,225 | 41,046 | 35,057 | |||||||||||||||||||
| Gross profit | 44,531 | 38,777 | 159,879 | 132,121 | |||||||||||||||||||
Operating expenses: | |||||||||||||||||||||||
| Sales and marketing | 32,806 | 31,249 | 124,224 | 117,054 | |||||||||||||||||||
| Research and development | 4,363 | 3,870 | 17,448 | 16,560 | |||||||||||||||||||
| General and administrative | 9,825 | 9,152 | 40,537 | 33,755 | |||||||||||||||||||
Total operating expenses | 46,994 | 44,271 | 182,209 | 167,369 | |||||||||||||||||||
Loss from operations | (2,463) | (5,494) | (22,330) | (35,248) | |||||||||||||||||||
Interest and other income (expense), net: | |||||||||||||||||||||||
| Interest income | 1,446 | 1,784 | 6,074 | 7,848 | |||||||||||||||||||
| Interest expense | (629) | (795) | (2,628) | (3,440) | |||||||||||||||||||
| Other income (expense), net | (2) | 10 | (20) | (73) | |||||||||||||||||||
Net loss | $ | (1,648) | $ | (4,495) | $ | (18,904) | $ | (30,913) | |||||||||||||||
Net loss per share, basic and diluted | $ | (0.04) | $ | (0.11) | $ | (0.44) | $ | (0.75) | |||||||||||||||
Weighted-average number of common shares used to compute basic and diluted net loss per share | 43,507,786 | 41,994,284 | 42,959,856 | 41,466,564 | |||||||||||||||||||
SI-BONE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands)
(unaudited)
| December 31, 2025 | December 31, 2024 | ||||||||||
| ASSETS | |||||||||||
| Current assets: | |||||||||||
| Cash and cash equivalents | $ | 42,240 | $ | 34,948 | |||||||
| Short-term investments | 105,583 | 115,094 | |||||||||
| Accounts receivable, net | 29,915 | 27,459 | |||||||||
| Inventory | 33,897 | 27,074 | |||||||||
| Prepaid expenses and other current assets | 4,480 | 3,204 | |||||||||
| Total current assets | 216,115 | 207,779 | |||||||||
| Property and equipment, net | 21,298 | 20,374 | |||||||||
| Operating lease right-of-use assets | 1,087 | 1,984 | |||||||||
| Other non-current assets | 55 | 300 | |||||||||
| TOTAL ASSETS | $ | 238,555 | $ | 230,437 | |||||||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||||||
| Current liabilities: | |||||||||||
| Accounts payable | $ | 4,631 | $ | 6,488 | |||||||
| Accrued liabilities and other | 19,704 | 19,492 | |||||||||
| Operating lease liabilities, current portion | 944 | 1,152 | |||||||||
| Total current liabilities | 25,279 | 27,132 | |||||||||
| Long-term borrowings | 35,569 | 35,452 | |||||||||
| Operating lease liabilities, net of current portion | 175 | 879 | |||||||||
| Other long-term liabilities | — | 10 | |||||||||
| TOTAL LIABILITIES | 61,023 | 63,473 | |||||||||
| Stockholders' Equity: | |||||||||||
| Common stock and additional paid-in capital | 626,974 | 598,074 | |||||||||
| Accumulated other comprehensive income | 816 | 244 | |||||||||
| Accumulated deficit | (450,258) | (431,354) | |||||||||
| TOTAL STOCKHOLDERS’ EQUITY | 177,532 | 166,964 | |||||||||
| TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY | $ | 238,555 | $ | 230,437 | |||||||
SI-BONE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(unaudited)
Twelve Months Ended December 31, | |||||||||||
| 2025 | 2024 | ||||||||||
| Cash flows from operating activities | |||||||||||
| Net loss | $ | (18,904) | $ | (30,913) | |||||||
| Adjustments to reconcile net loss to net cash used in operating activities | |||||||||||
| Stock-based compensation | 25,524 | 25,869 | |||||||||
| Depreciation and amortization | 5,770 | 4,379 | |||||||||
| Accounts receivable credit losses | 570 | 470 | |||||||||
| Inventory reserve | 1,997 | 1,300 | |||||||||
| Amortization of discount and premium on marketable securities | (3,051) | (5,440) | |||||||||
| Amortization of debt issuance costs | 117 | 153 | |||||||||
| Loss on disposal of property and equipment | 1,627 | 1,877 | |||||||||
| Changes in operating assets and liabilities | |||||||||||
| Accounts receivable | (3,027) | (5,840) | |||||||||
| Inventory | (8,684) | (8,047) | |||||||||
| Prepaid expenses and other assets | (1,030) | (2) | |||||||||
| Accounts payable | (1,763) | 1,861 | |||||||||
| Accrued liabilities and other | 179 | 1,908 | |||||||||
| Net cash used in operating activities | (675) | (12,425) | |||||||||
| Cash flows from investing activities | |||||||||||
| Maturities of marketable securities | 205,100 | 228,500 | |||||||||
| Purchases of marketable securities | (192,526) | (205,380) | |||||||||
| Purchases of property and equipment | (8,414) | (10,497) | |||||||||
| Net cash provided by (used in) investing activities | 4,160 | 12,623 | |||||||||
| Cash flows from financing activities | |||||||||||
| Proceeds from debt financing, net of debt issuance cost | — | 35,954 | |||||||||
| Repayments of debt financing | — | (36,000) | |||||||||
| Final payment fee related to debt | — | (720) | |||||||||
| Proceeds from the exercise of common stock options | 1,169 | 570 | |||||||||
| Proceeds from issuance of common stock under employee stock purchase plan | 2,207 | 2,154 | |||||||||
| Net cash provided by financing activities | 3,376 | 1,958 | |||||||||
| Effect of exchange rate changes on cash and cash equivalents | 431 | (479) | |||||||||
| Net increase in cash and cash equivalents | 7,292 | 1,677 | |||||||||
| Cash and cash equivalents at | |||||||||||
| Beginning of year | 34,948 | 33,271 | |||||||||
| End of year | $ | 42,240 | $ | 34,948 | |||||||
SI-BONE, INC.
RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA
(In thousands)
(unaudited)
Three Months Ended December 31, | Twelve Months Ended December 31, | |||||||||||||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||||||||||||
| Net loss | $ | (1,648) | $ | (4,495) | $ | (18,904) | $ | (30,913) | ||||||||||||||||||
| Interest income | (1,446) | (1,784) | (6,074) | (7,848) | ||||||||||||||||||||||
| Interest expense | 629 | 795 | 2,628 | 3,440 | ||||||||||||||||||||||
| Depreciation and amortization | 1,638 | 1,213 | 5,770 | 4,379 | ||||||||||||||||||||||
| Stock-based compensation | 5,976 | 6,135 | 25,524 | 25,868 | ||||||||||||||||||||||
| Adjusted EBITDA | $ | 5,150 | $ | 1,864 | $ | 8,944 | $ | (5,074) | ||||||||||||||||||
SI-BONE, INC.
RECONCILIATION OF FREE CASH FLOW
(In thousands)
(unaudited)
Twelve Months Ended December 31, | ||||||||||||||
| 2025 | 2024 | |||||||||||||
Net cash used in operating activities | $ | (675) | $ | (12,425) | ||||||||||
Less: | ||||||||||||||
Purchases of property and equipment | (8,414) | (10,497) | ||||||||||||
Free cash flow | $ | (9,089) | $ | (22,922) | ||||||||||
FAQ
How did SI-BONE (SIBN) perform financially in the fourth quarter of 2025?
SI-BONE delivered solid Q4 2025 results with improving profitability. Worldwide revenue reached $56.3 million, up 15.0% year over year, with U.S. revenue of $53.5 million. Gross margin was 79.0%, and net loss narrowed to $1.6 million with adjusted EBITDA of $5.1 million.
What were SI-BONE’s full-year 2025 revenue and earnings results?
For 2025, SI-BONE generated $200.9 million in worldwide revenue, a 20.2% increase from 2024. Gross margin was 79.6%. Net loss improved to $18.9 million, or $0.44 per diluted share, while adjusted EBITDA turned positive at $8.9 million, versus a $5.1 million loss in 2024.
What 2026 financial guidance did SI-BONE (SIBN) provide?
SI-BONE expects continued growth in 2026. Management projects worldwide revenue between $228.5 million and $232.5 million, implying about 14%–16% year-over-year growth. The company also targets gross margin of approximately 78% and higher positive adjusted EBITDA for the full year.
Did SI-BONE achieve positive cash flow or adjusted EBITDA in 2025?
SI-BONE showed a notable profitability inflection in 2025. Adjusted EBITDA was positive $8.9 million for the year, compared with a $5.1 million loss in 2024. In Q4 2025, operating cash flow was $1.7 million and free cash flow was modestly positive at $0.4 million.
What is SI-BONE’s cash and debt position at year-end 2025?
SI-BONE ended 2025 with a solid liquidity profile. Cash and equivalents totaled $42.2 million and short-term investments were $105.6 million, for $147.8 million of liquid assets. Borrowings stood at $35.6 million as of December 31, 2025, supporting ongoing growth investments.
What operational and leadership updates did SI-BONE announce with these results?
Operationally, about 1,640 U.S. physicians performed a procedure in Q4 2025, up 18%. SI-BONE announced a strategic distribution partnership with Smith+Nephew, launched the INTRA Ti SI joint fusion solution, and promoted Anshul Maheshwari to Chief Operating Officer alongside his Chief Financial Officer role.
Did SI-BONE disclose any significant facilities or lease changes?
Yes. SI-BONE entered into a new lease for approximately 50,485 square feet at 88 West Plumeria Drive in San Jose. The lease term is 102 months from commencement, with initial monthly base rent of $128,737 and scheduled annual increases of about 3%.
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[Form 4] SI-BONE, Inc. Insider Trading Activity
SIBN Stock Data
671.70M
39.46M
Medical Devices
Surgical & Medical Instruments & Apparatus
United States
SANTA CLARA