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Si-Bone Inc (SIBN)

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Upturn Advisory Summary
12/26/2025: SIBN (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $25.89
1 Year Target Price $25.89
| 5 | Strong Buy |
| 4 | Buy |
| 0 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -25.07% | Avg. Invested days 27 | Today’s Advisory Consider higher Upturn Star rating |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 883.45M USD | Price to earnings Ratio - | 1Y Target Price 25.89 |
Price to earnings Ratio - | 1Y Target Price 25.89 | ||
Volume (30-day avg) 9 | Beta 0.76 | 52 Weeks Range 12.49 - 21.07 | Updated Date 12/27/2025 |
52 Weeks Range 12.49 - 21.07 | Updated Date 12/27/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -0.51 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Geography
Geography revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin -11.24% | Operating Margin (TTM) -11.06% |
Management Effectiveness
Return on Assets (TTM) -6.87% | Return on Equity (TTM) -12.91% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 774537931 | Price to Sales(TTM) 4.56 |
Enterprise Value 774537931 | Price to Sales(TTM) 4.56 | ||
Enterprise Value to Revenue 4 | Enterprise Value to EBITDA -14.15 | Shares Outstanding 43391254 | Shares Floating 39426161 |
Shares Outstanding 43391254 | Shares Floating 39426161 | ||
Percent Insiders 3.29 | Percent Institutions 105.57 |
Upturn AI SWOT
Si-Bone Inc

Company Overview
History and Background
SI-BONE, Inc. was founded in 2008 with the mission to provide innovative solutions for the treatment of spinal disorders, particularly those affecting the sacroiliac joint. A significant milestone was the development and commercialization of its i-Fuse System, a minimally invasive surgical device. The company has since focused on expanding its product portfolio and gaining broader adoption within the orthopedic and neurosurgery markets.
Core Business Areas
- SI Joint Fusion: SI-BONE's primary focus is on developing and marketing minimally invasive surgical devices for the treatment of sacroiliac joint (SI joint) dysfunction, a common cause of lower back pain. Their flagship product, the i-Fuse Implant System, is designed to fuse the SI joint, alleviating pain and restoring function.
- Spinal Solutions Research and Development: Beyond the i-Fuse System, SI-BONE invests in research and development to explore new therapeutic approaches and expand its product offerings for other spinal conditions, aiming to become a comprehensive provider of spinal health solutions.
Leadership and Structure
SI-BONE is led by a management team with extensive experience in the medical device industry. Key leadership roles include CEO, CFO, and heads of R&D, sales, and marketing. The company operates with a hierarchical structure common to publicly traded medical device companies, with various departments responsible for product development, manufacturing, sales, and regulatory affairs.
Top Products and Market Share
Key Offerings
- i-Fuse Implant System: The i-Fuse Implant System is SI-BONE's flagship product. It is a suite of minimally invasive implants and instruments designed to facilitate fusion of the sacroiliac joint. The system is widely used by orthopedic surgeons and neurosurgeons. Market share data for this specific product is proprietary but the company is recognized as a leader in the SI joint fusion market. Key competitors in the broader spinal fusion market include Medtronic, Stryker, and Johnson & Johnson (DePuy Synthes).
- SI-FIX SI Joint Fusion System: Another offering within their SI joint fusion portfolio, the SI-FIX system also aims to provide a minimally invasive solution for SI joint dysfunction. Specific market share figures are not publicly available, but it contributes to SI-BONE's overall dominance in this niche. Competitors are similar to those for the i-Fuse system.
Market Dynamics
Industry Overview
SI-BONE operates within the rapidly growing spine market, specifically focusing on the treatment of SI joint dysfunction. This market is characterized by an aging population, increasing prevalence of spinal conditions, and a growing demand for less invasive surgical procedures. Technological advancements and a focus on patient outcomes drive innovation.
Positioning
SI-BONE is a leading innovator and provider of minimally invasive SI joint fusion solutions. Its competitive advantage lies in its specialized focus on SI joint dysfunction, a significant unmet need in the spine market, and its proprietary i-Fuse technology. The company has established strong relationships with spine surgeons and a robust distribution network.
Total Addressable Market (TAM)
The total addressable market for SI joint fusion is estimated to be several billion dollars globally. SI-BONE is well-positioned to capture a significant portion of this market due to its established product portfolio and expertise. Analysts estimate the TAM for SI joint dysfunction treatment to be growing at a healthy CAGR.
Upturn SWOT Analysis
Strengths
- Pioneering position in the minimally invasive SI joint fusion market
- Proprietary i-Fuse Implant System technology
- Strong surgeon relationships and adoption
- Focus on a specific, underserved segment of the spine market
- Experienced management team
Weaknesses
- Reliance on a single primary product category
- Potential for increased competition as the market grows
- Reimbursement challenges for new procedures can impact adoption
- Limited product diversification compared to larger medical device companies
Opportunities
- Expansion into international markets
- Development of new indications and product extensions
- Growing awareness and diagnosis of SI joint dysfunction
- Potential for strategic partnerships or acquisitions
- Advancements in biologic solutions to enhance fusion
Threats
- Increased competition from established players and new entrants
- Changes in healthcare reimbursement policies
- Adverse regulatory changes or product recalls
- Economic downturns impacting elective surgical procedures
- Development of non-surgical alternatives that gain market traction
Competitors and Market Share
Key Competitors
- Medtronic plc (MDT)
- Stryker Corporation (SYK)
- Zimmer Biomet Holdings, Inc. (ZBH)
- NuVasive, Inc. (NUVA)
Competitive Landscape
SI-BONE's advantage lies in its specialized focus and pioneering role in SI joint fusion. Larger competitors have broader product portfolios but may not have the same depth of expertise or dedicated product lines for SI joint issues. SI-BONE's challenge is to maintain its market leadership and innovate while competing with well-resourced giants in the broader spine market.
Growth Trajectory and Initiatives
Historical Growth: SI-BONE has experienced significant historical revenue growth since its inception, driven by the successful commercialization of the i-Fuse system and increasing adoption by surgeons. The company has consistently expanded its sales force and market reach.
Future Projections: Analysts project continued revenue growth for SI-BONE, driven by market penetration, geographic expansion, and potential new product introductions. Profitability is anticipated to improve over the coming years as the company achieves economies of scale and optimizes its operational structure.
Recent Initiatives: Recent initiatives likely include expanding its sales team, increasing marketing efforts to raise awareness of SI joint dysfunction, and potentially exploring new product development or strategic partnerships to diversify its offerings.
Summary
SI-BONE is a strong player in the niche market of SI joint fusion, with its i-Fuse system being a key driver of revenue growth. The company's focused strategy and innovative technology are significant strengths. However, it faces the challenge of achieving profitability amidst heavy investment in R&D and sales, and must navigate increasing competition from larger medical device companies. Continued market education and product development will be crucial for its long-term success.
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Sources and Disclaimers
Data Sources:
- Company financial reports (10-K, 10-Q)
- Investor relations materials
- Industry analyst reports
- Financial news websites
Disclaimers:
This analysis is based on publicly available information and may not be exhaustive. Financial data is subject to change and interpretations can vary. This is not investment advice and investors should conduct their own due diligence.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Si-Bone Inc
Exchange NASDAQ | Headquaters Santa Clara, CA, United States | ||
IPO Launch date 2018-10-17 | CEO & Director Ms. Laura A. Francis MBA | ||
Sector Healthcare | Industry Medical Devices | Full time employees 349 | Website https://si-bone.com |
Full time employees 349 | Website https://si-bone.com | ||
SI-BONE, Inc., a medical device company, focuses on solving musculoskeletal disorders of the sacropelvic anatomy in the United States and internationally. The company offers proprietary minimally invasive surgical implant systems to address sacroiliac joint dysfunction and degeneration, adult deformity and degeneration, and pelvic trauma, as well as implantable bone products. It also provides iFuse-3D, a titanium implant that combines the triangular cross-section of the iFuse implant with a proprietary 3D-printed porous surface and fenestrated design; iFuse TORQ, a line of 3D-printed threaded implants designed for applications in pelvic trauma and sacroliliac fusion; and iFuse Bedrock Granite Implant System that provides sacroiliac fusion and sacropelvic fixation as a foundational element for segmental spinal fusion; and iFuse TORQ TNT to treat pelvic trauma and sacroiliac joint dysfunction, as well as iFuse INTRA implants that are marketed as human cells, tissues, and cellular or tissue-based products. The company markets its products primarily with a direct sales force, as well as through third-party sales agent and resellers. SI-BONE, Inc. was incorporated in 2008 and is headquartered in Santa Clara, California.

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