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SI-BONE, Inc. Reports Financial Results for the First Quarter 2025 and Updates 2025 Guidance

1. SIBN achieved 25% revenue growth, totaling $47.3 million. 2. Positive adjusted EBITDA reported at $0.5 million, a significant improvement. 3. 1,400 active U.S. physicians, 300 added this quarter show strong market adoption. 4. New CMS rules could boost revenue per procedure starting October 2025. 5. Cash reserves at $144.4 million indicate solid financial health.

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FAQ

Why Bullish?

SIBN's strong revenue growth and positive adjusted EBITDA generally precede positive market reactions, similar to past performance after significant growth reports.

How important is it?

Current operational metrics and positive guidance significantly enhance investor confidence, warranting attention to SIBN’s stock.

Why Short Term?

Immediate market reaction likely from quarterly results; however, longer-term impacts depend on ongoing product adoption and regulatory developments.

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NUVAZBHABT
Achieved ~25% worldwide revenue growth and positive adjusted EBITDA May 05, 2025 16:09 ET  | Source: SI-BONE, Inc. First Quarter 2025 Financial Highlights (all comparisons are to the prior year period) Worldwide revenue of $47.3 million, representing growth of 24.9%U.S. revenue of $44.8 million, representing growth of 26.6%Gross margin of 79.7%, representing an improvement of 80 basis pointsNet loss of $6.5 million, representing an improvement of 40.0%Positive adjusted EBITDA of $0.5 million$144.4 million in cash and equivalents, with net cash usage in the quarter declining 31.7% to $5.6 million Recent Operational Highlights (any comparisons are to the prior year period) Over 1,400 active U.S. physicians with 300 physicians added in the quarter, representing 27.3% growthCMS FY 2026 proposed hospital inpatient rule for New Technology Add-On Payment (“NTAP”) effective October 1, 2025, paying an additional amount up to $3,960 for procedures involving iFuse TORQ TNT SANTA CLARA, Calif., May 05, 2025 (GLOBE NEWSWIRE) -- SI-BONE, Inc. (Nasdaq: SIBN), a medical device company dedicated to solving sacropelvic disorders, today reported financial results for the quarter ended March 31, 2025. “Our momentum continues unabated with a strong start to 2025, as we outperformed across all our key value creation metrics. We delivered another quarter of stellar revenue growth, expanded our gross margins and exceeded profitability targets,” said Laura Francis, Chief Executive Officer. “The record number of active physicians added in the quarter illustrates the rapid progress on the adoption of our innovative products launched in the past year. Our focus on innovation backed by our strong commercial execution and operating rigor, has allowed us to build a resilient platform that is poised to continue to deliver outsized revenue growth.” First Quarter 2025 Financial Results Worldwide revenue was $47.3 million in the first quarter 2025, a 24.9% increase from $37.9 million in the corresponding period in 2024. U.S. revenue for the first quarter 2025 was $44.8 million, a 26.6% increase from $35.4 million in the corresponding period in 2024. U.S revenue growth benefited from the strong underlying procedure demand as well as the rollout of new products in the last 12 months. International revenue for the first quarter 2025 was $2.5 million, compared to $2.4 million in the corresponding period in 2024. Gross profit was $37.7 million in the first quarter 2025, an increase of 26.2% from $29.9 million in the corresponding period in 2024. Gross margin was 79.7% for the first quarter 2025 compared to 78.9% in the corresponding period in 2024. Operating expenses increased 7.8% to $45.2 million in the first quarter 2025, as compared to $41.9 million in the corresponding period in 2024. The change in operating expenses was primarily driven by general commercial activity related to higher revenue and new product rollout, as well as research and development investments related to future products. Operating loss improved by 37.9% to $7.5 million in the first quarter 2025, as compared to an operating loss of $12.0 million in the corresponding period in 2024. Net loss improved by 40.0% to $6.5 million, or $0.15 per diluted share in the first quarter 2025, as compared to a net loss of $10.9 million, or $0.27 per diluted share in the corresponding period in 2024. Adjusted EBITDA was positive $0.5 million in the first quarter 2025, improving from an adjusted EBITDA loss of $4.0 million in the corresponding period in 2024. Cash and equivalents as of March 31, 2025 were $144.4 million, compared to $150.0 million on December 31, 2024, representing $5.6 million in net cash usage during the first quarter 2025, an improvement of 31.7% from $8.2 million in net cash usage during the corresponding period in 2024. Fiscal 2025 Updated Financial Guidance SI-BONE expects 2025 worldwide revenue to be in the range of $193.5 million to $197.5 million, compared to the prior guidance of $193.5 million to $195.5 million. The updated guidance implies year-over-year growth of ~16% to ~18%. SI-BONE estimates full year 2025 gross margin to be 78%, and does not expect a material impact to gross margins from the recently announced tariffs. SI-BONE anticipates operating expenses to grow at ~10% at the mid-point of the revenue guidance and expects to deliver positive adjusted EBITDA for the full year 2025.  Fiscal Year 2025 Guidance New (May 5, 2025)Prior (Feb 24, 2025)Revenue$193.5M - $197.5M~16%-18% growth$193.5M - $195.5M~16%-17% growthGross Margin78%77% - 78%Operating Expenses~10% growthat revenue midpoint~9% growthat revenue midpointAdjusted EBITDAPositivePositive Webcast Information SI-BONE will host a conference call to discuss the first quarter 2025 financial results after market close on Monday, May 5, 2025 at 4:30 P.M. Eastern Time. The conference call can be accessed live over webcast at https://edge.media-server.com/mmc/p/ueassh6s. 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 unique technologies for surgical treatment of sacropelvic disorders. Since pioneering minimally invasive SI joint surgery in 2009, SI-BONE has supported over 4,500 physicians in performing a total of over 120,000 procedures. A unique body of clinical evidence supports the use of SI-BONE’s technologies, including two randomized controlled trials and over 160 peer reviewed publications. SI-BONE has leveraged its leadership in minimally invasive SI joint fusion to commercialize novel solutions for adjacent markets, including adult deformity, sacropelvic fixation and pelvic trauma. For additional information on the company or the products including risks and benefits, please visit www.si-bone.com. iFuse Bedrock Granite, iFuse-TORQ TNT and SI-BONE are registered trademarks of SI-BONE, Inc. ©2025 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, 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 or deterioration in economic conditions as a result of tariffs and retaliation by U.S. trading partners on the ability and desire of patients to undergo elective procedures including those using SI-BONE’s products, 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 products. 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 SI-BONE’s most recent filing on Form 10-K, and SI-BONE’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 SI-BONE uses adjusted EBITDA, a non-GAAP financial measures that excludes from net loss the effects of interest income, interest expense, depreciation and amortization, and stock-based compensation. SI-BONE believes the presentation of adjusted EBITDA 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 adjusted EBITDA 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. Adjusted EBITDA should be considered supplemental to, and not a substitute for, financial information prepared in accordance with GAAP. Because adjusted EBITDA excludes the effect of items that increase or decrease SI-BONE’s reported results of operations, 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 may differ from similarly titled measures used by others. Investor Contact Saqib IqbalVP, FP&A, and Investor Relationsinvestors@SI-BONE.com  SI-BONE, INC.CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS(In thousands, except share and per share amounts)(Unaudited)   Three Months Ended March 31,  2025   2024 Revenue$47,290  $37,867 Cost of goods sold 9,595   8,002 Gross profit 37,695   29,865 Operating expenses:   Sales and marketing 30,681   29,387 Research and development 4,534   4,345 General and administrative 9,960   8,176 Total operating expenses 45,175   41,908 Loss from operations (7,480)  (12,043)Interest and other income (expense), net:   Interest income 1,592   2,113 Interest expense (662)  (881)Other income (expense), net 8   (93)Net loss$(6,542) $(10,904)    Net loss per share, basic and diluted$(0.15) $(0.27)Weighted-average number of common shares used to compute basic and diluted net loss per share 42,337,481   40,934,392  SI-BONE, INC.CONDENSED CONSOLIDATED BALANCE SHEETS(in thousands)(unaudited)     March 31, 2025 December 31, 2024ASSETS   Current assets:   Cash and cash equivalents$41,187  $34,948 Short-term investments 103,227   115,094 Accounts receivable, net 26,705   27,459 Inventory 30,379   27,074 Prepaid expenses and other current assets 2,704   3,204   Total current assets 204,202   207,779 Property and equipment, net 21,074   20,374 Operating lease right-of-use assets 1,702   1,984 Other non-current assets 302   300   TOTAL ASSETS$227,280  $230,437     LIABILITIES AND STOCKHOLDERS’ EQUITY   Current liabilities:   Accounts payable$7,705  $6,488 Accrued liabilities and other 15,157   19,492 Operating lease liabilities, current portion 1,090   1,152   Total current liabilities 23,952   27,132 Long-term borrowings 35,481   35,452 Operating lease liabilities, net of current portion 583   879 Other long-term liabilities —   10   TOTAL LIABILITIES 60,016   63,473     STOCKHOLDERS’ EQUITY   Common stock and additional paid-in capital 604,840   598,074 Accumulated other comprehensive income 320   244 Accumulated deficit (437,896)  (431,354)  TOTAL STOCKHOLDERS’ EQUITY 167,264   166,964   TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY$227,280  $230,437  SI-BONE, INC.RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA(In thousands)(unaudited)   Three Months Ended March 31,  2025   2024 Net loss$(6,542) $(10,904)Interest income (1,592)  (2,113)Interest expense 662   881 Depreciation and amortization 1,278   1,089 Stock-based compensation 6,663   7,030 Adjusted EBITDA$469  $(4,017)    

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