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SI-Bone Inc (DE:2K3)
FRANKFURT:2K3
Germany Market
EarningsQ2 2026 Earnings Report

SI-Bone (2K3) Q2 2026 Earnings Report

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DE:2K3 Q2 2026 EPS Results

Actual EPS-€0.08
Consensus EPS-€0.13
Beat/MissBeat by +€0.05
One Year Ago EPS-€0.12

DE:2K3 Q2 2026 Revenue Results

Actual Revenue€49.99M
Expected Revenue€49.39M
Beat/MissBeat by +€596.19K
YoY Revenue Growth+15.18%

Earnings Announcement Details

QuarterQ2 2026
Date08/03/2026
TimeAfter Close
Conference CallMonday, August 3, 2026
DE:2K3 Upcoming Earnings
SI-Bone's next earnings date is estimated for November 9, 2026, based on past reporting schedules.

Q2 2026 Earnings Call Audio

DE:2K3 Q2 2026 Earnings Call
0:00 / 0:00

Q2 2026 Earnings Slide Deck

Q2 2026 Earnings Call Summary

Q2 2026
Earnings Call Date:Aug 03, 2026|
% Change Since:
|
Earnings Call Sentiment|Positive
The earnings call highlighted strong top-line growth, expanding physician adoption, robust gross margins, and meaningful improvement in adjusted EBITDA and cash balances. Management filed a 510(k) for a third breakthrough device, expects phased commercial launch in Q4, and benefited from favorable reimbursement actions (new DRGs and proposed SI joint increases). At the same time, the company remains modestly unprofitable on a GAAP basis, is investing in capacity and R&D which will cause near-term variability in cash flow and depreciation, and is taking a conservative view on near-term guidance due to seasonality and timing of catalysts. Overall, positives (growth, margin strength, reimbursement tailwinds, product pipeline and liquidity) outweigh near-term execution and timing risks.
Company Guidance
SI‑BONE raised the low end of its 2026 revenue guide to $231–$233 million (about 15–16% growth versus prior $230–$233M or ~14–16%), kept full‑year gross margin guidance at 79%, and expects operating expenses at the midpoint to increase roughly 12%; management emphasized a measured stance given timing of a potential 510(k) clearance and a phased commercial launch (possible October) and embedded seasonality (a 1–2% sequential Q3 decline) and a low‑single‑digit ASP headwind into the outlook. They noted cash of $145.9 million, near‑term cash‑flow variability driven by a HQ build‑out and surgical capacity investments, plan to exit 2026 with nearly 100 quota‑carrying territories, and highlighted recent profitability momentum (Q2 adjusted EBITDA $2.8M, ~5.1% margin; trailing‑12‑month adjusted EBITDA ~$12.8M) and potential reimbursement tailwinds (new Granite DRGs that could raise hospital payments up to ~$50K per procedure and proposed outpatient/ASC/OBL increases for SI fusion).
Revenue Growth - Worldwide and U.S.
Worldwide revenue of $56.0M, up 15.2% year-over-year; U.S. revenue of $53.2M, up 14.7% year-over-year.
Strong Procedure and Physician Expansion
U.S. procedure volume up ~15% year-over-year and sequential U.S. procedure volume up ~9%; 1,715 unique physicians performed at least one procedure in Q2, a ~19% increase versus prior year.
International Momentum
International revenue grew 25.9% to $2.8M, driven by demand for TORQ and TNT and plans to expand product introductions and geographies.
Gross Profit and Margin Strength
Gross profit increased 14.8% to $44.5M and gross margin remained strong at 79.5%, supported by stable ASPs, product cost optimization, and improved surgical capacity utilization.
Improved Profitability and Adjusted EBITDA
Adjusted EBITDA improved 178% to $2.8M (adjusted EBITDA margin ~5.1%); trailing 12-month adjusted EBITDA quadrupled to $12.8M versus prior year period; net loss narrowed to $4.1M ($0.09 per diluted share) from $6.2M ($0.14).
Solid Liquidity and Positive Operating Cash Flow
Cash and equivalents of $145.9M (increase of ~$1.3M sequentially) and multiple recent quarters of positive operating cash flow, providing capacity to fund development programs.
Commercial Scalability and Territory Productivity
93 quota-carrying territory managers with trailing 12-month revenue per territory of ~$2.2M; company expects to approach ~100 territories by year-end to support upcoming launches.
Regulatory & Reimbursement Catalysts
510(k) filed in June for a third breakthrough device (targeted phased commercial launch as early as October); CMS proposed higher outpatient/ASC/OBL reimbursement for SI joint fusion and finalized new DRGs that could increase hospital payments for complex spinal fusion (including Granite) by up to ~$50k per procedure.

DE:2K3 Earnings History

Report Date
Fiscal Quarter
Forecast / EPS
Last Year's EPS
EPS YoY Change
Press Release
Nov 09, 2026
2026 (Q3)
-0.11 / -
-0.098―
2026 (Q2)
-0.13 / -0.08
-0.12535.71% (+0.04)
2026 (Q1)
-0.17 / -0.09
-0.13433.33% (+0.04)
2025 (Q4)
-0.11 / -0.04
-0.09863.64% (+0.06)
2025 (Q3)
-0.15 / -0.10
-0.14331.25% (+0.04)
2025 (Q2)
-0.16 / -0.12
-0.19636.36% (+0.07)
2025 (Q1)
-0.20 / -0.13
-0.24144.44% (+0.11)
2024 (Q4)
-0.13 / -0.10
-0.24159.26% (+0.14)
2024 (Q3)
-0.21 / -0.14
-0.22336.00% (+0.08)
2024 (Q2)
-0.25 / -0.20
-0.26826.67% (+0.07)
The table shows recent earnings report dates and whether the forecast was beat or missed. See the change in forecast and EPS from the previous year.
Beat
Missed