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SI-BONE, Inc. Reports Financial Results for the Second Quarter 2024

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SI-BONE, Inc. (Nasdaq:SIBN) reported strong Q2 2024 financial results, with worldwide revenue reaching $40.0 million, a 20% increase year-over-year. U.S. revenue grew 21% to $37.8 million. The company improved its net loss by 20% to $8.9 million and reduced its Adjusted EBITDA loss by 43% to $2.7 million. SI-BONE ended the quarter with $151.5 million in cash and equivalents.

Operational highlights include a 23% increase in U.S. active physicians to over 1,150. The company also reported positive 5-year results from the SALLY clinical trial and early interim results from the STACI study. SI-BONE has increased its 2024 revenue guidance to $165-$167 million and expects to achieve positive Adjusted EBITDA in Q4 2024.

SI-BONE, Inc. (Nasdaq:SIBN) ha riportato risultati finanziari solidi per il Q2 2024, con un fatturato mondiale che ha raggiunto $40,0 milioni, un aumento del 20% rispetto all'anno precedente. Il fatturato negli Stati Uniti è cresciuto del 21% a $37,8 milioni. L'azienda ha migliorato la sua perdita netta del 20%, portandola a $8,9 milioni, e ha ridotto la perdita di EBITDA rettificato del 43%, scendendo a $2,7 milioni. SI-BONE ha concluso il trimestre con $151,5 milioni in contante e equivalenti.

I punti salienti operativi includono un aumento del 23% dei medici attivi negli Stati Uniti, superando i 1.150. L'azienda ha anche riportato risultati positivi a 5 anni dallo studio clinico SALLY e risultati provvisori anticipati dallo studio STACI. SI-BONE ha aumentato le previsioni di fatturato per il 2024 a $165-$167 milioni e prevede di raggiungere un EBITDA rettificato positivo nel Q4 2024.

SI-BONE, Inc. (Nasdaq:SIBN) reportó resultados financieros sólidos para el Q2 2024, con ingresos mundiales alcanzando $40.0 millones, un aumento del 20% interanual. Los ingresos en EE. UU. crecieron un 21% hasta $37.8 millones. La compañía mejoró su pérdida neta en un 20%, llevándola a $8.9 millones, y redujo su pérdida de EBITDA ajustado en un 43% a $2.7 millones. SI-BONE terminó el trimestre con $151.5 millones en efectivo y equivalentes.

Los aspectos destacados operativos incluyen un aumento del 23% en el número de médicos activos en EE. UU., superando los 1.150. La compañía también reportó resultados positivos a 5 años del ensayo clínico SALLY y resultados interinos tempranos del estudio STACI. SI-BONE ha aumentado su guía de ingresos para 2024 a $165-$167 millones y espera lograr un EBITDA ajustado positivo en el Q4 2024.

SI-BONE, Inc. (Nasdaq:SIBN)는 2024년 2분기 재무 결과를 발표하며 전 세계 수익이 $40.0 백만에 달해 전년 대비 20% 증가했다고 전했습니다. 미국의 수익은 21% 증가하여 $37.8 백만에 달했습니다. 이 회사는 순손실을 20% 줄여 $8.9 백만으로 개선했으며, 조정된 EBITDA 손실은 43% 감소하여 $2.7 백만이 되었습니다. SI-BONE은 분기를 $151.5 백만의 현금 및 현금성 자산으로 마감했습니다.

운영 하이라이트로는 미국의 활동 의사가 23% 증가하여 1,150명을 초과했다는 점입니다. 이 회사는 SALLY 임상 시험에서 긍정적인 5년 결과와 STACI 연구에서의 초기 중간 결과도 보고했습니다. SI-BONE은 2024년 수익 가이던스를 $165-$167 백만으로 증가시켰으며, 2024년 4분기에는 조정 EBITDA가 긍정적으로 달성될 것으로 기대하고 있습니다.

SI-BONE, Inc. (Nasdaq:SIBN) a publié de solides résultats financiers pour le Q2 2024, avec un chiffre d'affaires mondial atteignant 40,0 millions de dollars, soit une augmentation de 20 % par rapport à l'année précédente. Le chiffre d'affaires aux États-Unis a crû de 21 % pour atteindre 37,8 millions de dollars. La société a amélioré sa perte nette de 20 % à 8,9 millions de dollars et a réduit sa perte d'EBITDA ajusté de 43 % pour atteindre 2,7 millions de dollars. À la fin du trimestre, SI-BONE disposait de 151,5 millions de dollars en liquidités et équivalents.

Les faits saillants opérationnels comprennent une augmentation de 23 % du nombre de médecins actifs aux États-Unis, dépassant 1.150. La société a également rapporté des résultats positifs sur 5 ans de l'essai clinique SALLY et des résultats préliminaires de l'étude STACI. SI-BONE a augmenté ses prévisions de revenus pour 2024 à 165-167 millions de dollars et s'attend à atteindre un EBITDA ajusté positif au Q4 2024.

SI-BONE, Inc. (Nasdaq:SIBN) berichtete über starke Finanzergebnisse für Q2 2024, mit weltweiten Einnahmen von 40,0 Millionen Dollar, was einem Anstieg von 20 % im Vergleich zum Vorjahr entspricht. Die Einnahmen in den USA stiegen um 21 % auf 37,8 Millionen Dollar. Das Unternehmen konnte seinen Nettoverlust um 20 % auf 8,9 Millionen Dollar reduzieren und seinen Verlust beim bereinigten EBITDA um 43 % auf 2,7 Millionen Dollar senken. SI-BONE beendete das Quartal mit 151,5 Millionen Dollar in Bar und Äquivalenten.

Zu den betrieblichen Höhepunkten zählt ein Anstieg der aktiven Ärzte in den USA um 23 % auf über 1.150. Das Unternehmen berichtete auch über positive 5-Jahres-Ergebnisse aus der SALLY-Studie und frühe Zwischenresultate aus der STACI-Studie. SI-BONE hat die Umsatzprognose für 2024 erhöht und erwartet, im 4. Quartal 2024 ein positives bereinigtes EBITDA zu erzielen.

Positive
  • Worldwide revenue increased by 20% to $40.0 million in Q2 2024
  • U.S. revenue grew by 21% to $37.8 million
  • Net loss improved by 20% to $8.9 million
  • Adjusted EBITDA loss improved by 43% to $2.7 million
  • U.S. active physicians increased by 23% to over 1,150
  • Increased 2024 revenue guidance to $165-$167 million
  • Expects to achieve positive Adjusted EBITDA in Q4 2024
Negative
  • Gross margin decreased to 79% from 81% in the corresponding period in 2023
  • Operating expenses increased by 7% to $41.7 million

Insights

SI-BONE's Q2 2024 results show strong growth and improving financials. Revenue increased by 20% to $40.0 million, with U.S. revenue growing 21%. The company's net loss improved by 20% and Adjusted EBITDA loss decreased by 43%. These improvements, coupled with a healthy cash position of $151.5 million, indicate solid financial management.

The updated 2024 revenue guidance of $165-167 million and expected positive Adjusted EBITDA in Q4 2024 are particularly noteworthy. This suggests management's confidence in continued growth and profitability. However, investors should monitor the slight decline in gross margin from 81% to 79% due to product mix changes.

The clinical results from SI-BONE's studies are impressive. The 5-year SALLY trial results show sustained reduction in SI joint pain, functional improvement and 100% bone integration with iFuse-3D. This long-term data is important for building physician confidence and driving adoption. Additionally, the early STACI study results confirm the safety and efficacy of TORQ for lateral transfixing SI joint fusion, potentially expanding the company's addressable market to include interventional spine physicians.

The growing U.S. active physician base, up 23% to over 1,150, indicates increasing acceptance of SI-BONE's technologies. This expansion, combined with positive clinical outcomes, could drive further market penetration and revenue growth.

SI-BONE's market position appears to be strengthening. The 23% increase in U.S. active physicians suggests growing adoption of their technologies. The launch of Granite 9.5 has generated elevated interest, indicating successful product development and market reception. The company's ability to develop new markets for large unmet clinical needs is driving procedure volume growth and expanding their physician base.

The addition of experienced board members from Nalu Medical and Baxter International brings valuable industry expertise, potentially aiding in strategic decisions and market expansion. However, investors should watch for competitive pressures and reimbursement changes that could impact growth. The company's focus on profitability, aiming for positive Adjusted EBITDA in Q4 2024, is a positive sign for long-term sustainability.

Increases 2024 revenue guidance to $165 million - $167 million
Expects to achieve positive Adjusted EBITDA in Fourth Quarter 2024

SANTA CLARA, Calif., Aug. 05, 2024 (GLOBE NEWSWIRE) -- SI-BONE, Inc. (Nasdaq:SIBN), a medical device company dedicated to solving sacropelvic disorders, today reported financial results for the quarter ended June 30, 2024.

Second Quarter 2024 Financial Highlights (comparisons are to the prior year period)

  • Worldwide revenue of $40.0 million, representing growth of ~20%  
  • U.S. revenue of $37.8 million, representing growth of ~21%
  • Gross margin of ~79%
  • Net loss of $8.9 million, representing an improvement of ~20%
  • Adjusted EBITDA loss of $2.7 million, representing an improvement of ~43%
  • Ended the quarter with $151.5 million in cash and equivalents

Recent Operational Highlights (comparisons are to the prior year period)

  • Over 1,150 U.S. active physicians in the second quarter 2024, representing an increase of ~23%
  • Thomas West, President and CEO at Nalu Medical, Inc., and Dan Wolf, SVP, Chief Strategy and M&A Officer at Baxter International Inc., joined the Board of Directors
  • 5-year results from SALLY prospective clinical trial reaffirm the significant and sustained reduction in SI joint pain, persistent functional improvement, and 100% bone integration with iFuse-3D
  • Early interim results from STACI study confirm the safety and efficacy of lateral transfixing SI joint fusion using TORQ when performed by interventional spine physicians

"I am delighted with our strong operating results as we delivered record revenue in the second quarter, reflecting overall strong demand dynamics including elevated interest in our recently launched Granite 9.5. Given the momentum in the business, we expect revenue growth to accelerate in the second half of 2024,” said Laura Francis, Chief Executive Officer. "Our ability to develop new markets with large unmet clinical needs is driving our U.S. procedure volume growth and expanding physician base. We also continue to make significant progress in improving our profitability and expect to achieve positive adjusted EBITDA in the fourth quarter."

Second Quarter 2024 Financial Results

Worldwide revenue was $40.0 million in the second quarter 2024, a ~20% increase from $33.3 million in the corresponding period in 2023. U.S. revenue for the second quarter 2024 was $37.8 million, a ~21% increase from $31.2 million in the corresponding period in 2023. International revenue for the second quarter 2024 was $2.2 million compared to $2.1 million in the corresponding period in 2023.

Gross profit was $31.6 million in the second quarter 2024, a ~17% increase from $27.0 million in the corresponding period in 2023. Gross margin was ~79% for the second quarter 2024, as compared to ~81% in the corresponding period in 2023. Gross margin in the second quarter 2024 was impacted by procedure and product mix.

Operating expenses increased ~7% to $41.7 million in the second quarter 2024, as compared to $39.0 million in the corresponding period in 2023. The change in operating expenses was primarily driven by increases in sales commissions driven by revenue growth, increase in commercial activities to support new product launches, research and development investments, and higher stock-based compensation.

Operating loss improved by ~16% to $10.1 million in the second quarter 2024, as compared to an operating loss of $12.0 million in the corresponding period in 2023.

Net loss improved by ~20%, to $8.9 million, or $0.22 per diluted share in the second quarter 2024, as compared to a net loss of $11.2 million, or $0.30 per diluted share in the corresponding period in 2023.

Adjusted EBITDA loss improved by ~43% to $2.7 million in the second quarter 2024, as compared to an Adjusted EBITDA loss of $4.7 million in the corresponding period in 2023.

Cash and marketable securities were $151.5 million and borrowings were $36.1 million as of June 30, 2024.

2024 Updated Financial Guidance

SI-BONE is updating 2024 worldwide revenue guidance to be in the range of $165 million to $167 million, an increase from the previous guidance of $164 million to $166 million. Compared to 2023, the updated guidance translates to growth of ~19% to ~20%, versus growth of ~18% to ~20% implied in the earlier guidance. The Company expects to be Adjusted EBITDA positive in the fourth quarter of 2024.

Webcast Information

SI-BONE will host a conference call to discuss the second quarter 2024 financial results after market close on Monday, August 5, 2024 at 4:30 P.M. Eastern Time. The conference call can be accessed live over webcast at https://edge.media-server.com/mmc/p/bdg2s7zw. 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 3,900 physicians in performing a total of over 100,000 procedures. A unique body of clinical evidence supports the use of SI-BONE’s technologies, including two randomized controlled trials and over 130 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 and SI-BONE are registered trademarks of SI-BONE, Inc. ©2024 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

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 Iqbal
Sr. Director, 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
June 30,
 Six Months Ended
June 30,
  2024   2023   2024   2023 
Revenue$39,969  $33,305  $77,836  $66,013 
Cost of goods sold 8,393   6,318   16,395   12,242 
Gross profit 31,576   26,987   61,441   53,771 
Operating expenses:       
Sales and marketing 28,970   27,492   58,357   54,805 
Research and development 4,352   3,656   8,697   6,947 
General and administrative 8,332   7,802   16,508   15,275 
Total operating expenses 41,654   38,950   83,562   77,027 
Loss from operations (10,078)  (11,963)  (22,121)  (23,256)
Interest and other income (expense), net:       
Interest income 2,015   1,582   4,128   2,515 
Interest expense (880)  (850)  (1,761)  (1,689)
Other income (expense), net 4   25   (89)  99 
Net loss$(8,939) $(11,206) $(19,843) $(22,331)
        
Net loss per share, basic and diluted$(0.22) $(0.30) $(0.48) $(0.61)
Weighted-average number of common shares used to compute basic and diluted net loss per share 41,317,627   37,864,185   41,126,009   36,399,309 


SI-BONE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands)
(unaudited)

 June 30,
2024
 December 31,
2023
ASSETS   
Current assets:   
Cash and cash equivalents$25,577  $33,271 
Short-term investments 125,950   132,748 
Accounts receivable, net 24,796   21,953 
Inventory 23,233   20,249 
Prepaid expenses and other current assets 2,777   3,173 
Total current assets 202,333   211,394 
Property and equipment, net 19,108   16,000 
Operating lease right-of-use assets 2,079   2,706 
Other non-current assets 323   325 
TOTAL ASSETS$223,843  $230,425 
    
LIABILITIES AND STOCKHOLDERS' EQUITY   
Current liabilities:   
Accounts payable$7,180  $4,588 
Accrued liabilities and other 13,496   17,452 
Operating lease liabilities, current portion 1,384   1,416 
Total current liabilities 22,060   23,456 
Long-term borrowings 36,149   36,065 
Operating lease liabilities, net of current portion 887   1,511 
Other long-term liabilities 14   18 
TOTAL LIABILITIES 59,110   61,050 
    
Stockholders' Equity:   
Common stock and additional paid-in capital 584,790   569,481 
Accumulated other comprehensive income 227   335 
Accumulated deficit (420,284)  (400,441)
TOTAL STOCKHOLDERS’ EQUITY 164,733   169,375 
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY$223,843  $230,425 


SI-BONE, INC.
RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA
(In thousands)
(unaudited)

  Three Months Ended
June 30,
 Six Months Ended
June 30,
   2024   2023   2024   2023 
Net loss $(8,939) $(11,206) $(19,843) $(22,331)
Interest income  (2,015)  (1,582)  (4,128)  (2,515)
Interest expense  880   850   1,761   1,689 
Depreciation and amortization  992   1,236   2,081   2,322 
Stock-based compensation  6,398   5,998   13,428   12,192 
Adjusted EBITDA $(2,684) $(4,704) $(6,701) $(8,643)
         

FAQ

What was SI-BONE's (SIBN) revenue for Q2 2024?

SI-BONE reported worldwide revenue of $40.0 million for Q2 2024, representing a 20% increase year-over-year.

How much did SI-BONE's (SIBN) U.S. revenue grow in Q2 2024?

SI-BONE's U.S. revenue grew by 21% to $37.8 million in Q2 2024 compared to the same period in 2023.

What is SI-BONE's (SIBN) updated revenue guidance for 2024?

SI-BONE increased its 2024 worldwide revenue guidance to $165-$167 million, representing growth of 19% to 20% compared to 2023.

When does SI-BONE (SIBN) expect to achieve positive Adjusted EBITDA?

SI-BONE expects to achieve positive Adjusted EBITDA in the fourth quarter of 2024.

How many active physicians did SI-BONE (SIBN) have in the U.S. during Q2 2024?

SI-BONE reported over 1,150 U.S. active physicians in Q2 2024, representing an increase of 23% compared to the prior year period.

SI-BONE, Inc.

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