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Si-Bone (SIBN) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 24, 2026

Si-Bone (SIBN) reported revenue of $56.3M for the fourth quarter 2025 (Q4 2025), +15% from a year earlier and +16% from the quarter before. Operating margin was -4.4%, net loss $1.6M (2.9% of revenue).

Revenue$56.3M
Year over year+15%
Quarter over quarter+16%
Operating margin-4.4%
Net earnings−$1.6M

Si-Bone, Q4 2025: revenue $56.3M (+15% year over year), operating margin -4.4%, net loss $1.6M, operating cash flow $1.7M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$56.3M+16%+15%
Operating profit−$2.5M——
Net earnings−$1.6M——
Operating cash flow$1.7M-26%+47%
Free cash flow$440K——

What changed

Revenue was $56.3M in Q4 2025, up 15% year over year and up 16% from the previous quarter.

Gross margin was 79.0%, down 0.1 points from a year earlier. Operating costs exceeded revenue by $2.5M, an operating margin of -4.4%. Operating expenses grew 6% against revenue growth of 15%. The fastest-growing cost line was Research & development (+13%). The quarter ended with a net loss of $1.6M, narrower than the previous quarter's $4.6M loss. Non-operating items added $819K, -50% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was $1.7M (up 47% year over year). Non-cash charges added back $1.6M of depreciation and amortization and $6.0M of share-based compensation. Working capital and other items used $4.2M. Capital expenditures of $1.3M left free cash flow of $440K.

Questions

What was Si-Bone's revenue in the fourth quarter 2025?

Si-Bone (SIBN) reported revenue of $56.3M for the fourth quarter 2025 (Q4 2025), +15% from a year earlier and +16% from the quarter before.

Was Si-Bone profitable in the fourth quarter 2025?

Operating loss was $2.5M (-4.4% of revenue) and net loss $1.6M.

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Source: Si-Bone 10-K on SEC EDGAR.