SI-BONE, Inc.
Business
SI-BONE, Inc. is a medical device company focused on solving musculoskeletal disorders of the sacropelvic anatomy through minimally invasive surgical solutions. It offers proprietary patented titanium implants, implantable bone (allograft) products, and the instruments and training needed to implant them, including multiple iFuse product families and related clinical education. Its key clinical applications and product segments address sacroiliac joint dysfunction and degeneration, spinopelvic fixation/adult spinal deformity, and pelvic fracture/trauma. SI-BONE markets primarily in the United States via a direct sales force and third‑party agents, and internationally through a mix of direct sales, agents, and resellers.
Summary from filing dated 2025-02-25
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 201 | 167 | 139 | 106 | 90 | |
| Cost of goods sold | 41 | 35 | 29 | 16 | 10 | |
| Gross profit | 160 | 132 | 109 | 91 | 80 | |
| Sales and marketing | 124 | 117 | 110 | 108 | 94 | |
| Research and development | 17 | 17 | 15 | 14 | 12 | |
| General and administrative | 41 | 34 | 31 | 29 | 25 | |
| Total operating expenses | 182 | 167 | 156 | 150 | 131 | |
| Loss from operations | −22 | −35 | −47 | −60 | −52 | |
| Interest income | 6 | 8 | 7 | 1 | 186,000 | |
| Interest expense | −3 | −3 | −3 | −3 | — | |
| Other income (expense), net | −20,000 | −73,000 | 141,000 | −132,000 | 277,000 | |
| Net loss | −19 | −31 | −43 | −61 | −57 | |
| Unrealized gain (loss) of marketable securities | 13,000 | 26,000 | 166,000 | −65,000 | −31,000 | |
| Changes in foreign currency translation | 559,000 | −117,000 | −63,000 | −55,000 | −141,000 | |
| Comprehensive loss | −18 | −31 | −43 | −61 | −57 | |
| Net loss per share, basic (in dollars per share) | −0.44 | −0.75 | −1.13 | −1.79 | −1.71 | |
| Net loss per share, diluted (in dollars per share) | −0.44 | −0.75 | −1.13 | −1.79 | −1.71 | |
| Weighted-average number of common shares used to compute basic net loss per share (in shares) | 43 | 41 | 38 | 34 | 33 | |
| Weighted-average number of common shares used to compute diluted net loss per share (in shares) | 43 | 41 | 38 | 34 | 33 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 42 | 35 | 33 | 21 | 63 | |
| Short-term investments | 106 | 115 | 133 | 77 | — | |
| Accounts receivable, net of allowance for credit losses of $1,013 and $588, respectively | 30 | 27 | 22 | 21 | 14 | |
| Inventory | 34 | 27 | 20 | 17 | 11 | |
| Prepaid expenses and other current assets | 4 | 3 | 3 | 2 | 3 | |
| Total current assets | 216 | 208 | 211 | 138 | 176 | |
| Property and equipment, net | 21 | 20 | 16 | 16 | 9 | |
| Operating lease right-of-use assets | 1 | 2 | 3 | 4 | 5 | |
| Other non-current assets | 55,000 | 300,000 | 325,000 | 375,000 | 400,000 | |
| TOTAL ASSETS | 239 | 230 | 230 | 158 | 191 | |
| Accounts payable | 5 | 6 | 5 | 6 | 3 | |
| Accrued liabilities and other | 20 | 19 | 17 | 14 | 12 | |
| Operating lease liabilities, current portion | 944,000 | 1 | 1 | 1 | 1 | |
| Total current liabilities | 25 | 27 | 23 | 21 | 17 | |
| Long-term borrowings | 36 | 35 | 36 | 35 | 35 | |
| Operating lease liabilities, net of current portion | 175,000 | 879,000 | 2 | 3 | 4 | |
| Other long-term liabilities | 0 | 10,000 | 18,000 | 30,000 | 57,000 | |
| TOTAL LIABILITIES | 61 | 63 | 61 | 59 | 56 | |
| Commitments and contingencies (Note 6) | — | — | — | — | — | |
| Preferred stock, $0.0001 par value; 5,000,000 shares authorized; no shares issued and outstanding | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $0.0001 par value; 100,000,000 shares authorized; 43,647,131 and 42,086,477 shares issued and outstanding, respectively | 4,000 | 4,000 | 4,000 | 3,000 | 3,000 | |
| Additional paid-in capital | 627 | 598 | 569 | 455 | 430 | |
| Accumulated other comprehensive income | 816,000 | 244,000 | 335,000 | 232,000 | 352,000 | |
| Accumulated deficit | −450 | −431 | −400 | −357 | −296 | |
| TOTAL STOCKHOLDERS EQUITY | 178 | 167 | 169 | 98 | 134 | |
| TOTAL LIABILITIES AND STOCKHOLDERS EQUITY | 239 | 230 | 230 | 158 | 191 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Stock-based compensation | 26 | 26 | 24 | 23 | 17 | |
| Depreciation and amortization | 6 | 4 | 5 | 3 | 2 | |
| Accounts receivable credit losses | 570,000 | 470,000 | 761,000 | 150,000 | 14,000 | |
| Inventory reserve | 2 | 1 | 2 | 319,000 | — | |
| Amortization of discount and premium on marketable securities | −3 | −5 | −4 | 229,000 | 1 | |
| Amortization of debt issuance costs | 117,000 | 153,000 | 208,000 | 198,000 | 288,000 | |
| Loss on disposal of property and equipment | 2 | 2 | 1 | 153,000 | 399,000 | |
| Accounts receivable | −3 | −6 | −2 | −6 | −569,000 | |
| Inventory | −9 | −8 | −5 | −6 | −6 | |
| Prepaid expenses and other assets | −1 | −2,000 | −762,000 | 810,000 | −594,000 | |
| Accounts payable | −2 | 2 | −1 | 3 | −532,000 | |
| Accrued liabilities and other | 179,000 | 2 | 4 | 1 | 2 | |
| Net cash used in operating activities | −675,000 | −12 | −19 | −42 | −40 | |
| Maturities of marketable securities | 205 | 229 | 138 | 126 | 160 | |
| Purchases of marketable securities | −193 | −205 | −189 | −120 | −102 | |
| Purchases of property and equipment | −8 | −10 | −8 | −10 | −6 | |
| Net cash provided by (used in) investing activities | 4 | 13 | −60 | −3 | 52 | |
| Proceeds from follow-on public offering, net of underwriting discounts, commissions and offering costs | 0 | 0 | 84 | 0 | 0 | |
| Proceeds from debt financing, net of debt issuance cost | 0 | 36 | 36 | 0 | 35 | |
| Repayments of debt financing | 0 | −36 | −35 | 0 | −41 | |
| Final payment fee related to debt | 0 | −720,000 | 0 | 0 | — | |
| Proceeds from the exercise of common stock options | 1 | 570,000 | 4 | 379,000 | 3 | |
| Proceeds from issuance of common stock under employee stock purchase plan | 2 | 2 | 2 | 2 | 2 | |
| Net cash provided by financing activities | 3 | 2 | 91 | 2 | −2 | |
| Effect of exchange rate changes on cash and cash equivalents | 431,000 | −479,000 | 132,000 | −429,000 | −498,000 | |
| Net increase in cash and cash equivalents | 7 | 2 | 13 | −43 | 10 | |
| Cash paid for interest | 3 | 3 | 3 | 3 | 3 | |
| Operating lease right-of-use assets obtained in exchange for operating lease liabilities | 251,000 | 449,000 | 143,000 | 127,000 | — | |
| Unpaid purchases of property and equipment | 495,000 | 588,000 | 501,000 | 1 | 509,000 |