SI-BONE, Inc.(SIBN)Stock Analysis
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Rank #2,046 of 2,879 stocks
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
SIBN Stock Analysis & AI Quality Score
AI stock analysis and institutional research for SI-BONE, Inc. (SIBN), a Healthcare sector company. 13F Pro's AI-powered ranking engine scores SIBN at 37.7/100 on a 32-signal composite quality model, placing it at rank #2,046 of 2,879 stocks — the bottom half of the AI-ranked universe. SIBN scores in the top quartile across institutional flow (85.9), revenue growth (80.5). Areas of concern include balance sheet strength (18.7) and free cash flow (22.0), which score below median versus the broader universe. Shareholder dilution risk is elevated at 14.2/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), SI-BONE, Inc. reports quarterly revenue of $52.6M, net income of $-4.3M, an operating margin of -9.7%. Top institutional holders of SIBN by reported 13-F value include First Light Asset Management,, BlackRock,, AMERICAN CENTURY COMPANIES, based on the most recent SEC filings. SIBN trades on the Nasdaq exchange and files with the SEC under CIK 1459839. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate SIBN daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for SI-BONE, Inc. directly from SEC EDGAR. SI-BONE, Inc.'s 13F Pro composite quality score has ranged between 8 and 66 since 2021, currently 37.7 — an improving long-term trajectory across 56 quarterly and live scoring snapshots.
Revenue
Q1 2026
$52.6M
Net Income
Q1 2026
$-4.3M
Free Cash Flow
Q1 2026
$-3.4M
Operating Margin
Q1 2026
-9.7%
D/E Ratio
Q1 2026
0.20
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+20.2% YoYNet Income
+38.8% YoYOperating Income
+36.6% YoYEPS (Diluted)
+41.3% YoYTotal Assets
+3.5% YoYTotal Debt
+0.3% YoYOp. Cash Flow
+94.6% YoY| Metric | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2020 | FY 2019 |
|---|---|---|---|---|---|---|
| Revenue | $200.9M +20.2% | $167.2M +20.4% | $138.9M +30.5% | $106.4M +45.0% | $73.4M +9.0% | $67.3M |
| Net Income | $-18.9M +38.8% | $-30.9M +28.7% | $-43.3M +29.3% | $-61.3M -40.3% | $-43.7M -13.8% | $-38.4M |
| Operating Income | $-22.3M +36.6% | $-35.2M +24.9% | $-46.9M +21.3% | $-59.6M -54.6% | $-38.6M -7.1% | $-36.0M |
| EPS (Diluted) | $-0.44 +41.3% | $-0.75 +33.6% | $-1.13 +36.9% | $-1.79 -19.3% | $-1.50 | — |
| Total Assets | $238.6M +3.5% | $230.4M +0.0% | $230.4M +46.3% | $157.6M -29.4% | $223.1M +90.7% | $117.0M |
| Total Debt | $35.6M +0.3% | $35.5M -1.7% | $36.1M +2.5% | $35.2M -10.9% | $39.5M -9.5% | $43.6M |
| Operating Cash Flow | $-675.0K +94.6% | $-12.4M +33.6% | $-18.7M +55.1% | $-41.7M -35.9% | $-30.7M +3.1% | $-31.6M |
AI Insight: SIBN Financial Trends
SI-BONE is narrowing losses steadily — Q4 2025 operating loss compressed to -$2M from -$10M in Q2 2024 — but profitability remains elusive.
• Operating loss shrank from -$10M in Q2 2024 to -$2M in Q4 2025, the best result in the observed period.
• Revenue grew from $40M in Q2 2024 to $56M in Q4 2025, a 40% increase over six quarters.
• Operating cash flow improved from -$6M in Q2 2024 to +$2M in Q4 2025, though Q1 2026 slipped back to -$2M.
• Equity steadily expanded from $165M in Q2 2024 to $179M in Q1 2026, with total debt stable near $36M.
⚠ Q1 seasonality is notable: operating loss widened to -$5M in Q1 2026 vs. -$2M in Q4 2025, reversing recent momentum.
⚠ Net income remains negative across all eight quarters; the path to GAAP profitability is still unconfirmed.
⚠ Total debt has not declined, holding at $36M in Q1 2026; leverage reduction would signal financial strengthening.
AI Insight: SIBN Ratio Trends
SIBN's operating losses have narrowed sharply from -25.2% in Q2 2024 to -9.7% in Q1 2026, signaling meaningful but still-incomplete progress toward profitability.
• Operating margin improved from -25.2% in Q2 2024 to -4.4% in Q4 2025, the best single quarter in the dataset.
• Net profit margin followed the same path, narrowing from -22.4% in Q2 2024 to -2.9% in Q4 2025.
• Leverage is stable and declining slightly; D/E edged from 0.22 in Q2–Q3 2024 to 0.20 in Q4 2025 and Q1 2026.
• All return metrics — ROE, ROA, ROIC — remain negative across every reported period, indicating no positive economic returns yet.
⚠ Q1 2026 operating margin deteriorated to -9.7% from Q4 2025's -4.4%, raising questions about seasonal durability of improvement.
⚠ ROIC of -9.3% in Q1 2026 versus -4.6% in Q4 2025 suggests the path to positive capital returns remains uneven.
⚠ Whether Q4 2025 margin strength recurs in future Q4 periods will signal whether SIBN is structurally approaching breakeven.
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Available Research
13F Pro tracks comprehensive data for SI-BONE, Inc. including:
Top Institutional Holders of SIBN
First Light Asset Management, LLC
$67.6M5,353,190 shBlackRock, Inc.
$43.3M3,428,541 shAMERICAN CENTURY COMPANIES INC
$31.7M2,509,065 shBROWN ADVISORY INC
$26.8M2,122,332 shCADIAN CAPITAL MANAGEMENT, LP
$23.8M1,887,472 shVANGUARD CAPITAL MANAGEMENT LLC
$22.3M1,764,313 shGranahan Investment Management, LLC
$22.0M1,739,097 shImpax Asset Management Group plc
$18.0M1,425,010 shNuveen, LLC
$16.2M1,285,511 shSILVERCREST ASSET MANAGEMENT GROUP LLC
$15.7M1,244,584 sh
| Fund | Value | Shares |
|---|---|---|
| First Light Asset Management, LLC | $67.6M | 5,353,190 |
| BlackRock, Inc. | $43.3M | 3,428,541 |
| AMERICAN CENTURY COMPANIES INC | $31.7M | 2,509,065 |
| BROWN ADVISORY INC | $26.8M | 2,122,332 |
| CADIAN CAPITAL MANAGEMENT, LP | $23.8M | 1,887,472 |
| VANGUARD CAPITAL MANAGEMENT LLC | $22.3M | 1,764,313 |
| Granahan Investment Management, LLC | $22.0M | 1,739,097 |
| Impax Asset Management Group plc | $18.0M | 1,425,010 |
| Nuveen, LLC | $16.2M | 1,285,511 |
| SILVERCREST ASSET MANAGEMENT GROUP LLC | $15.7M | 1,244,584 |
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Popular Research
Is SIBN a good stock to buy?
13F Pro's AI-powered analysis of SI-BONE, Inc. (SIBN) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for SIBN are available on the SIBN stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own SIBN?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling SIBN. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of SI-BONE, Inc.'s investment landscape.