Si-bone, Inc. · NASDAQ:SIBN

Si-bone — Q2 2026 Earnings Presentation

27 slides from Si-bone's earnings presentation, Aug 3, 2026

  1. Slide 1: SI-BONE Corporate Overview

    SI-BONE Corporate Overview August 2026

  2. Slide 2: Forward-Looking Statements

    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, are “forward-looking” statements. These forward-looking statements are based on SI-BON

  3. Slide 3: Business Update

    Business Update

  4. Slide 4: Second Quarter 2026: Key Highlights

    Second Quarter 2026: Key Highlights Accelerating, Broad-Based Growth 510(k) Submitted for Third • 15.2% worldwide revenue growth to $56.0 million Breakthrough Device Targeting 4Q launch • 14.7% U.S. revenue growth to $53.2 million • 19% growth in U.S. active physicians New DRG Family Finalized Highe

  5. Slide 5: Strong Q2 momentum across revenue and volume

    Strong Q2 momentum across revenue and volume 2Q WW REVENUE ($M) 2Q US REVENUE ($M) U.S. 2Q PROCEDURE VOLUME 6,100 $56.0 $53.2 ~15% ~15% ~15% 5,300 $48.6 $46.4 2Q25 2Q26 2Q25 2Q26 2Q25 2Q26 Note: As of August 3, 2026 Note: Rounded for presentation purposes 5

  6. Slide 6: Record Physician Engagement Driving Procedure Demand

    Record Physician Engagement Driving Procedure Demand U.S. ACTIVE PHYSICIAN BASE 1,715 22 consecutive quarters of double-digit U.S. physician growth ~19% 15% increase in physicians performing multi-modality procedures 1,440 2Q25 2Q26 Note: As of August 3, 2026 6

  7. Slide 7: Growing Profitability and Robust Liquidity

    Growing Profitability and Robust Liquidity ADJUSTED EBITDA ($M) Growing profitability $5.1 ▪ ~180% increase in AEBITDA Robust liquidity $2.8 $2.3 $2.5 ▪ $145.9 million in cash and equivalents ▪ Positive cash flow from operations in the quarter $1.0 2Q25 3Q25 4Q25 1Q26 2Q26 Note: As of August 3, 2026

  8. Slide 8: Long-Term Business Drivers

    Long-Term Business Drivers Platform Set-up to Deliver Strong Revenue Growth and Operating Leverage Innovation Develop disruptive solutions that improve procedural outcomes for patients with compromised bone Build differentiated portfolio Physician Engagement Leverage training and expanding portfolio

  9. Slide 9: Updated 2026 WW Revenue Guidance ($M)

    Updated 2026 WW Revenue Guidance ($M) $231.0 - $233.0 $200.9 Guidance FY26 (Current) Guidance FY26 (Prior) $167.2 Revenue $231.0 - $233.0 million $230.0 - $233.0 million $138.9 Revenue growth (y/y) ~15% - 16% (implied) ~14% - 16% (implied) Gross Margin ~79% ~79% Operating Expenses ~12.0% ~12.5% (at

  10. Slide 10: Differentiated Portfolio Complemented By Strong Fundamentals

    Differentiated Portfolio Complemented By Strong Fundamentals Robust Data 190+ published papers 4 Randomized Controlled Trials Reimbursement Advantage New DRGs Finalized for inpatient iFuse Bedrock Granite procedures NTAP for iFuse TORQ TNT Large, Underpenetrated Markets 470,000 annual target procedu

  11. Slide 11: Company Overview

    Company Overview

  12. Slide 12: Market Leading Platform For Compromised Bone Procedural Solutions

    Market Leading Platform For Compromised Bone Procedural Solutions Innovation Evidence Education Commercialization 3 Breakthrough Designated Devices 4 Randomized Controlled Trials 1-4 1,715 Active US Physicians 6,7 93 Territory Managers 82 WW Patents 190+ Peer-reviewed Publications 5 ~150,000+ Proced

  13. Slide 13: Large Addressable Markets with Attractive Fundamentals

    Large Addressable Markets with Attractive Fundamentals Pelvic Trauma 5 60,000 $0.3 Billion ~470,000 Sacropelvic Fixation Target U.S. Annual 130,000 $1.0 Billion Adult Deformity 3 + Degenerative Spine 4 Procedures 1 > $3.5 Billion Total U.S. Addressable Market 1 SI Joint Dysfunction 2 280,000 $2.4 Bi

  14. Slide 14: Three Large Unmet Clinical Needs in Sacropelvic Conditions

    Three Large Unmet Clinical Needs in Sacropelvic Conditions SI Joint Dysfunction Pelvic Trauma Spinopelvic Fixation 15-30% Chronic LBP is SI Joint1-5 Older Population Fragility FXs Increasing11-13 24% Rate of Pelvic Fixation Failure in ASD Surgery19 ~40% Symptomatic Post Lumbar Fusion6-9 78% of Insuf

  15. Slide 15: Innovation Driven Differentiated Platform

    Innovation Driven Differentiated Platform iFuse INTRA® & INTRA X® iFuse TORQ® iFuse 3D iFuse Bedrock Granite® iFuse INTRA Ti iFuse TORQ TNT® iFuse Intra-articular Cutting-Edge Pelvic Fixation Market Leader in Breakthrough Fixation, Stabilization & Fusion & Fusion; and Fragility Fractures SI Joint Fu

  16. Slide 16: Patent Protected Differentiated Platform

    Patent Protected Differentiated Platform ▪ 82 issued patents: U.S. (51), OUS (31) ▪ 46 pending patents: U.S. (28), OUS (18) INSTRUMENT 3-D TECHNOLOGY ▪ iFuse 3D implant patents until Sept 2035 ▪ Triangular broach instrument patent until Feb 2034 Triangular broach instrument and Rectilinear profile,

  17. Slide 17: Portfolio Overview

    Portfolio Overview

  18. Slide 18: Sacroiliac Joint Dysfunction Treatments

    Sacroiliac Joint Dysfunction Treatments Non-surgical Management Procedures Medications External Radiofrequency (NSAIDS, Support Ablation opiates, etc.) (SI Joint Belt) Therapeutic Physical Bone Allograft MIS SI Joint Therapy SI Joint SI Joint Fusion Injections Stabilization (anesthetic & & Fusion st

  19. Slide 19: iFuse INTRA Ti: Intra-Articular Titanium Implant

    iFuse INTRA Ti : Intra-Articular Titanium Implant Differentiated Technology Intra-articular Placement iFuse Lattice Technology Fenestrations Cutting Blades Competitive Advantages Access/Reimbursement Cortical Piercing FDA Cleared: February 2026 Intra-articular placement Uses Existing CPT Code: 27279

  20. Slide 20: iFuse TORQ: Cutting-Edge Pelvic Fixation and Fusion

    iFuse TORQ®: Cutting-Edge Pelvic Fixation and Fusion Large, Adjacent Differentiated Competitive Market 1 Technology Advantages >$300 million Pelvic Trauma FuSIon 3D Surface for TORQLock Threads2 opportunity Osseointegration 10x rotational resistance on insertion vs. trauma screws ~120K Sacral Fragil

  21. Slide 21: iFuse Bedrock Granite: Fixation. Fusion. Foundation.

    iFuse Bedrock Granite®: Fixation. Fusion. Foundation. Differentiated Technology Microporous Lattice Surfaces Macroporous Fenestrations OMNICapture Tulip & Set Screw IntelliHarvest® Cutting Flutes Large, Adjacent Market Competitive Advantages ~$1 billion Adult Spinal Deformity and Degenerative Spine

  22. Slide 22: iFuse TORQ TNT: Pelvic Bone Density-Driven Design

    iFuse TORQ TNT®: Pelvic Bone Density-Driven Design FDA Clearance September 2024 • Through ‘N Through (“TNT”)1 • FDA Breakthrough Device Designation2 • Pelvic fragility fracture fixation • Pelvic-specific 8.7mm diameter • 3D-printed porous lattice surface designed for osseointegration CMS FY2026 IPPS

  23. Slide 23: Disclosures

    Disclosures The iFuse Bedrock Granite ® Implant System is intended for sacroiliac joint fusion in skeletally mature patients for the following conditions: • Sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruption and degenerative sacroiliitis. This includes conditions who

  24. Slide 24: Disclosures

    Disclosures Disclosure The iFuse TORQ® Implant System is indicated for: • Sacroiliac joint dysfunction including sacroiliac joint disruption and degenerative sacroiliitis. • Augmenting immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixat

  25. Slide 25: Reconciliation of Adjusted EBITDA

    Reconciliation of Adjusted Disclosure EBITDA Three Months Ended​ Three Months Ended $ in thousands June 30, 2026 June 30, 2025 Net loss $ (4,088) $ (6,152) Interest income (1,332) (1,520) Interest expense 598 666 Depreciation and amortization 1,679 1,368 Stock-based compensation 5,979 6,658 Adjusted

  26. Slide 26: Reconciliation of Free Cash Flow

    Disclosure Reconciliation of Free Cash Flow $ in thousands Six Months Ended ​ Six Months Ended ​ June 30, 2026 June 30, 2025​ Net cash used in operating activities $ (1,585) $ (4,738) Less: Purchases of Property and Equipment (2,622) (4,171) Free Cash Flow $ (4,207) $ (8,909) SI-BONE uses Free Cash

  27. Slide 27: Pioneering Procedural Solutions For Compromised Bone

    h Pioneering Procedural Solutions For Compromised Bone ® ~150,000 1,715 190+ Procedures Active Physicians Publications Note: As of August 3, 2026 27 8/3/2026

SI-BONE — Q2 2026 Earnings Presentation on 6ix