Tearsheet

SI-BONE (SIBN)


Market Price (12/12/2025): $18.805 | Market Cap: $812.2 Mil
Sector: Health Care | Industry: Life Sciences Tools & Services

SI-BONE (SIBN)


Market Price (12/12/2025): $18.805
Market Cap: $812.2 Mil
Sector: Health Care
Industry: Life Sciences Tools & Services

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Precision Medicine. Themes include Geriatric Care, Chronic Pain Management, Show more.
Trading close to highs
Dist 52W High is -4.9%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -25 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -13%
1  Weak multi-year price returns
2Y Excs Rtn is -50%, 3Y Excs Rtn is -19%
Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -5.5%
0 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Precision Medicine. Themes include Geriatric Care, Chronic Pain Management, Show more.
1 Trading close to highs
Dist 52W High is -4.9%
2 Weak multi-year price returns
2Y Excs Rtn is -50%, 3Y Excs Rtn is -19%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -25 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -13%
4 Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -5.5%

Valuation, Metrics & Events

SIBN Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

The requested period for stock movement analysis (8/31/2025 to today, December 12, 2025) is in the future. As an AI, I cannot access or provide information about future stock performance or events. However, I can highlight key points based on recent historical information that typically influence SI-BONE's (SIBN) stock performance, which could lead to significant movements like the 12.9% mentioned. Here are key points that have influenced or are expected to influence SI-BONE's stock based on recent available information:

1. Strong Revenue Growth and Positive Adjusted EBITDA. SI-BONE reported strong preliminary Q4 2024 financial results, with worldwide revenue growing approximately 26% year-over-year to $48.8-$49.0 million. U.S. revenue increased by about 28%. The company also achieved adjusted EBITDA profitability in Q4 2024, which is a significant milestone for a growth-stage medical device company. This robust financial performance and path to profitability are strong indicators that could drive positive investor sentiment and stock appreciation.

2. Expansion of Active U.S. Physician Base. The company expanded its U.S. active physician base to approximately 1,390 by Q4 2024, representing 23% growth. This expansion demonstrates strong market penetration and successful commercial execution, indicating a growing adoption of SI-BONE's solutions. An increased physician base can lead to higher procedure volumes and sustained revenue growth.

Show more

Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
SIBN Return39%-26%-39%54%-33%34%-13%
Peers Return24%-13%-8%-7%7%28%26%
S&P 500 Return16%27%-19%24%23%17%114%

Monthly Win Rates [3]
SIBN Win Rate58%50%58%58%25%42% 
Peers Win Rate55%42%53%47%50%45% 
S&P 500 Win Rate58%75%42%67%75%73% 

Max Drawdowns [4]
SIBN Max Drawdown-61%-37%-49%-7%-43%-7% 
Peers Max Drawdown-48%-21%-33%-30%-21%-19% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: GMED, OFIX, MDT, ZBH, ATEC.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/11/2025 (YTD)

How Low Can It Go

Unique KeyEventSIBNS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-68.8%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven220.2%34.1%
2022 Inflation ShockTime to BreakevenTime to BreakevenNot Fully Recovered days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-63.1%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven171.2%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven180 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-32.3%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven47.7%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven284 days120 days

Compare to A, ATEC, CERS, AVRT, BLLN


In The Past

SI-BONE's stock fell -68.8% during the 2022 Inflation Shock from a high on 5/3/2021. A -68.8% loss requires a 220.2% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About SI-BONE (SIBN)

Better Bets than SI-BONE (SIBN)

Trade Ideas

Select past ideas related to SIBN. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
15.9%15.9%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-6.1%-6.1%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
4.3%4.3%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
5.2%5.2%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.3%16.3%-5.1%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
15.9%15.9%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-6.1%-6.1%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
4.3%4.3%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
5.2%5.2%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
16.3%16.3%-5.1%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for SI-BONE

Peers to compare with:

Financials

SIBNGMEDOFIXMDTZBHATECMedian
NameSI-BONE Globus M.Orthofix.MedtronicZimmer B.Alphatec  
Mkt Price18.8288.8815.7199.7592.4519.9154.39
Mkt Cap0.612.00.6127.918.33.07.5
Rev LTM1942,77081834,7588,0117281,794
Op Inc LTM-25434-956,7191,497-74204
FCF LTM-11570-35,2061,409-3284
FCF 3Y Avg-22331-464,9171,156-112154
CFO LTM-1715297,1131,68635375
CFO 3Y Avg-13444-46,6261,502-36220

Growth & Margins

SIBNGMEDOFIXMDTZBHATECMedian
NameSI-BONE Globus M.Orthofix.MedtronicZimmer B.Alphatec  
Rev Chg LTM23.3%11.7%4.3%5.3%5.5%27.1%8.6%
Rev Chg 3Y Avg24.9%45.6%21.9%4.1%5.1%31.8%23.4%
Rev Chg Q20.6%22.9%4.6%6.6%9.7%30.4%15.2%
QoQ Delta Rev Chg LTM4.5%5.5%1.1%1.6%2.3%6.7%3.4%
Op Mgn LTM-13.1%15.7%-11.6%19.3%18.7%-10.1%2.8%
Op Mgn 3Y Avg-24.9%13.9%-14.0%18.6%19.1%-21.8%-0.0%
QoQ Delta Op Mgn LTM1.8%2.4%0.1%-0.1%-0.1%3.8%0.9%
CFO/Rev LTM-0.6%25.8%3.6%20.5%21.0%4.8%12.6%
CFO/Rev 3Y Avg-9.4%19.7%-0.8%19.9%19.6%-7.6%9.4%
FCF/Rev LTM-5.5%20.6%-0.4%15.0%17.6%-0.5%7.3%
FCF/Rev 3Y Avg-15.2%14.3%-6.5%14.8%15.1%-21.7%3.9%

Valuation

SIBNGMEDOFIXMDTZBHATECMedian
NameSI-BONE Globus M.Orthofix.MedtronicZimmer B.Alphatec  
Mkt Cap0.612.00.6127.918.33.07.5
P/S3.32.80.73.72.43.02.9
P/EBIT-17.8-6.419.015.0-19.215.0
P/E-29.218.2-4.926.824.2-14.26.6
P/CFO-519.010.819.818.011.662.814.8
Total Yield-3.4%5.5%-20.5%6.6%5.1%-7.0%0.8%
Dividend Yield0.0%0.0%0.0%2.8%1.0%0.0%0.0%
FCF Yield 3Y Avg-4.2%-9.0%4.3%5.5%-11.2%4.2%
D/E-0.00.40.20.40.30.3
Net D/E--0.00.20.20.30.20.2

Returns

SIBNGMEDOFIXMDTZBHATECMedian
NameSI-BONE Globus M.Orthofix.MedtronicZimmer B.Alphatec  
1M Rtn3.3%4.6%2.1%4.6%4.5%-3.9%3.9%
3M Rtn15.3%49.1%4.7%6.6%-11.1%27.4%11.0%
6M Rtn3.1%47.6%40.8%14.5%-0.4%75.1%27.6%
12M Rtn36.1%7.2%-15.3%24.3%-12.7%105.5%15.7%
3Y Rtn44.7%20.0%-22.3%38.2%-24.8%92.9%29.1%
1M Excs Rtn2.5%3.8%1.4%3.8%3.7%-4.7%3.1%
3M Excs Rtn15.1%46.5%0.6%2.1%-14.9%25.7%8.6%
6M Excs Rtn-11.1%33.5%26.6%0.4%-14.5%61.0%13.5%
12M Excs Rtn24.5%-6.8%-28.1%8.7%-28.8%93.2%0.9%
3Y Excs Rtn-18.7%-46.2%-97.0%-32.2%-97.0%35.6%-39.2%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Single Segment139106907367
Total139106907367


Price Behavior

Short Interest

Short Interest: As Of Date11282025
Short Interest: Shares Quantity2,639,548
Short Interest: % Change Since 11152025-7.0%
Average Daily Volume625,646
Days-to-Cover Short Interest4.22
Basic Shares Quantity43,188,524
Short % of Basic Shares6.1%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/10/202516.2%14.3% 
8/4/2025-10.6%-14.0%-9.4%
5/5/202515.4%31.8%29.8%
2/24/20255.6%0.6%-16.0%
11/12/2024-15.9%-21.2%-12.9%
8/5/20241.3%0.4%15.8%
5/6/20248.3%3.6%-3.0%
2/26/2024-13.5%-13.4%-25.5%
...
SUMMARY STATS   
# Positive10109
# Negative111112
Median Positive7.1%10.8%12.1%
Median Negative-11.2%-14.0%-12.9%
Max Positive16.7%31.8%29.8%
Max Negative-24.3%-24.4%-27.7%

SEC Filings

Expand for More

Report DateFiling DateFiling
93020251110202510-Q 9/30/2025
6302025805202510-Q 6/30/2025
3312025506202510-Q 3/31/2025
12312024225202510-K 12/31/2024
93020241112202410-Q 9/30/2024
6302024806202410-Q 6/30/2024
3312024507202410-Q 3/31/2024
12312023227202410-K 12/31/2023
93020231107202310-Q 9/30/2023
6302023808202310-Q 6/30/2023
3312023502202310-Q 3/31/2023
12312022302202310-K 12/31/2022
93020221108202210-Q 9/30/2022
6302022809202210-Q 6/30/2022
3312022510202210-Q 3/31/2022
12312021301202210-K 12/31/2021