SI-BONE, Inc. Reports Financial Results for the Second Quarter 2023 and Increases Annual Guidance

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SI-BONE, Inc.

Annual guidance increased to $132 million - $134 million, implying annual growth of 24%-26%

SANTA CLARA, Calif., Aug. 07, 2023 (GLOBE NEWSWIRE) -- SI-BONE, Inc. (Nasdaq:SIBN), a medical device company dedicated to solving musculoskeletal disorders of the sacropelvic anatomy, today reported financial results for the quarter ended June 30, 2023.

Recent Highlights

  • Record worldwide revenue of $33.3 million for the second quarter 2023, representing approximately 30% growth over the corresponding period in 2022

  • Record U.S. revenue of $31.2 million for the second quarter 2023, representing approximately 31% growth over the corresponding period in 2022

  • Gross margin of 81% for the second quarter 2023

  • Approximately 935 U.S. active surgeons in the second quarter 2023, representing 30% growth over the corresponding period in 2022

  • Launch of closed-head Granite implant, addressing an additional segment of the deformity surgeon market

  • $169 million in cash and equivalents at the end of the quarter, including $84 million in net proceeds from follow-on offering in May 2023

“I am pleased with the over 30% U.S. revenue growth in the second quarter of 2023, led by increasing demand for our solutions. Having consistently delivered several consecutive quarters of record revenue and operating leverage, we are excited about the significant opportunity ahead of us as we capitalize on underlying business momentum and progress towards profitability,” said Laura Francis, Chief Executive Officer of SI-BONE, Inc. “As we look beyond 2023, we are focused on judiciously investing in long-term growth drivers, including portfolio expansion programs as well as physician engagement initiatives to extend our market leadership and build a sustainable and high-growth revenue platform.”

Second Quarter 2023 Financial Results

Worldwide revenue was $33.3 million in the second quarter 2023, a 30% increase from $25.6 million in the corresponding period in 2022. U.S. revenue for the second quarter 2023 was $31.2 million, a 31% increase from $23.8 million in the corresponding period in 2022. International revenue for the second quarter 2023 was $2.1 million, a 15% increase from $1.8 million in the corresponding period in 2022.

Gross margin was 81% for the second quarter 2023, as compared to 86% in the corresponding period in 2022. Gross margin in the second quarter 2023 was impacted by procedure and product mix given the higher total costs of iFuse-TORQ and iFuse Bedrock Granite. Gross margin also includes the impact of higher depreciation from instrument trays to support the growth of the business and depreciation associated with our second facility in Santa Clara.

Operating expenses decreased 3% to $38.9 million in the second quarter 2023, as compared to $40.0 million in the corresponding period in 2022. The change in operating expenses was primarily driven by timing of certain commercial activities, partially offset by higher commissions and stock-based compensation.

Operating loss improved by 33% to $12.0 million in the second quarter 2023, as compared to an operating loss of $17.9 million in the corresponding period in 2022.

Net loss improved by 39%, to $11.2 million, or $0.30 per diluted share for the second quarter 2023, as compared to a net loss of $18.5 million, or $0.54 per diluted share in the corresponding period in 2022. Net loss per diluted share for the second quarter 2023 also includes the impact of increase in shares outstanding as a result of a follow-on common stock offering in May 2023.

Adjusted EBITDA loss improved by approximately 59% to negative $4.7 million, in the second quarter 2023, as compared to an adjusted EBITDA loss of negative $11.5 million, in the corresponding period in 2022.

Cash and marketable securities were $169.4 million and borrowings were $36.0 million as of June 30, 2023. The cash and marketable securities include $84 million in net proceeds from the May 2023 follow-on offering.

2023 Updated Financial Guidance

Based on the strength of performance in the second quarter of 2023, SI-BONE is increasing its 2023 worldwide revenue guidance to be in the range of $132 million to $134 million from the previous guidance of $128 million to $131 million. The updated guidance translates to a growth of approximately 24% to 26% compared to fiscal year 2022, versus the previous growth of approximately 20% to 23%.

Webcast Information

SI-BONE will host a conference call to discuss the second quarter 2023 financial results after market close on Monday, August 7, 2023 at 4:30 P.M. Eastern Time. The conference call can be accessed live over webcast at https://edge.media-server.com/mmc/p/wguskxxw. 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 technology for surgical treatment of musculoskeletal disorders of the sacropelvic anatomy. Since pioneering minimally invasive SI joint surgery in 2009, SI-BONE has supported over 3,000 surgeons in performing a total of over 85,000 sacropelvic procedures. A unique body of clinical evidence supports the use of SI-BONE’s technologies, including two randomized controlled trials and over 120 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, spinopelvic fixation and pelvic trauma.

For additional information on the company or the products including risks and benefits, please visit www.si-bone.com.

SI-BONE is a registered trademark of SI-BONE, Inc. ©2023 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 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 filings on Form 10-K and Form 10-Q, 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,

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Revenue

$

33,305

 

 

$

25,585

 

 

$

66,013

 

 

$

48,024

 

Cost of goods sold

 

6,318

 

 

 

3,465

 

 

 

12,242

 

 

 

6,448

 

Gross profit

 

26,987

 

 

 

22,120

 

 

 

53,771

 

 

 

41,576

 

Operating expenses:

 

 

 

 

 

 

 

Sales and marketing

 

27,492

 

 

 

28,843

 

 

 

54,805

 

 

 

54,448

 

Research and development

 

3,656

 

 

 

3,478

 

 

 

6,947

 

 

 

7,058

 

General and administrative

 

7,802

 

 

 

7,680

 

 

 

15,275

 

 

 

14,819

 

Total operating expenses

 

38,950

 

 

 

40,001

 

 

 

77,027

 

 

 

76,325

 

Loss from operations

 

(11,963

)

 

 

(17,881

)

 

 

(23,256

)

 

 

(34,749

)

Interest and other income (expense), net:

 

 

 

 

 

 

 

Interest income

 

1,582

 

 

 

136

 

 

 

2,515

 

 

 

209

 

Interest expense

 

(850

)

 

 

(622

)

 

 

(1,689

)

 

 

(1,183

)

Other income (expense), net

 

25

 

 

 

(146

)

 

 

99

 

 

 

(200

)

Net loss

$

(11,206

)

 

$

(18,513

)

 

$

(22,331

)

 

$

(35,923

)

 

 

 

 

 

 

 

 

Net loss per share, basic and diluted

$

(0.30

)

 

$

(0.54

)

 

$

(0.61

)

 

$

(1.06

)

Weighted-average number of common shares used to compute basic and diluted net loss per share

 

37,864,185

 

 

 

34,052,692

 

 

 

36,399,309

 

 

 

33,923,229

 


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

 

June 30, 2023

 

December 31, 2022

ASSETS

 

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

110,815

 

 

$

20,717

 

Short-term investments

 

58,615

 

 

 

76,573

 

Accounts receivable, net

 

20,422

 

 

 

20,674

 

Inventory

 

20,547

 

 

 

17,282

 

Prepaid expenses and other current assets

 

2,135

 

 

 

2,365

 

Total current assets

 

212,534

 

 

 

137,611

 

Property and equipment, net

 

17,579

 

 

 

15,564

 

Operating lease right-of-use assets

 

3,372

 

 

 

4,002

 

Other non-current assets

 

340

 

 

 

375

 

TOTAL ASSETS

$

233,825

 

 

$

157,552

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

Current liabilities:

 

 

 

Accounts payable

$

6,157

 

 

$

6,279

 

Accrued liabilities and other

 

10,642

 

 

 

13,511

 

Operating lease liabilities, current portion

 

1,403

 

 

 

1,388

 

Total current liabilities

 

18,202

 

 

 

21,178

 

Long-term borrowings

 

35,980

 

 

 

35,171

 

Operating lease liabilities, net of current portion

 

2,212

 

 

 

2,871

 

Other long-term liabilities

 

24

 

 

 

30

 

TOTAL LIABILITIES

 

56,418

 

 

 

59,250

 

 

 

 

 

Stockholders' Equity:

 

 

 

Common stock and additional paid-in capital

 

556,545

 

 

 

455,175

 

Accumulated other comprehensive income

 

298

 

 

 

232

 

Accumulated deficit

 

(379,436

)

 

 

(357,105

)

TOTAL STOCKHOLDERS’ EQUITY

 

177,407

 

 

 

98,302

 

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

$

233,825

 

 

$

157,552

 


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,

 

 

 

2023

 

 

 

2022

 

 

 

2023

 

 

 

2022

 

Net loss

 

$

(11,206

)

 

$

(18,513

)

 

$

(22,331

)

 

$

(35,923

)

Interest income

 

 

(1,582

)

 

 

(136

)

 

 

(2,515

)

 

 

(209

)

Interest expense

 

 

850

 

 

 

622

 

 

 

1,689

 

 

 

1,183

 

Depreciation and amortization

 

 

1,236

 

 

 

792

 

 

 

2,322

 

 

 

1,505

 

Stock-based compensation

 

 

5,998

 

 

 

5,751

 

 

 

12,192

 

 

 

11,258

 

Adjusted EBITDA

 

$

(4,704

)

 

$

(11,484

)

 

$

(8,643

)

 

$

(22,186

)

 

 

 

 

 

 

 

 

 



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