Document
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
____________________________________________________________________________
FORM 8-K
____________________________________________________________________________

CURRENT REPORT

Pursuant to Section 13 or 15(d) of
the Securities Exchange Act of 1934

Date of report (Date of earliest event reported): March 7, 2019
____________________________________________________________________________
SI-BONE, INC.
(Exact name of registrant as specified in its charter)
____________________________________________________________________________
 
 
 
 
 
 
Delaware
 
001-38701
 
26-2216351

(State or other jurisdiction of
incorporation or organization)
 
(Commission
File Number)
 
(I.R.S. Employer
Identification No.)
471 El Camino Real
Suite 101
Santa Clara, CA 95050
(Address of principal executive offices) (Zip Code)

(408) 207-0700
(Registrant’s telephone number, include area code)

N/A
(Former Name or Former Address, if Changed Since Last Report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

o
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

o
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

o
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

o
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company     ý

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o



Item 2.02 – Results of Operations and Financial Condition.

On March 7, 2019, SI-BONE, Inc. issued a press release (the “Press Release”) announcing results for the quarter ended December 31, 2018. A copy of the Press Release is attached as Exhibit 99.1 to this current report on Form 8-K and is incorporated by reference herein.

The information under Item 2.02 in this current report on Form 8-K and the related information in the exhibit attached hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, regardless of any general incorporation language in such filing.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits
 
 
 
 
Exhibit No.
 
Description
 
 
 
99.1
 



SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 
 
 
 
 
 
 
SI-BONE, INC.
 
 
 
Date:
March 7, 2019
By:
/s/ Laura A. Francis
 
 
 
Laura A. Francis
 
 
 
Chief Financial Officer
 
 
 
(Principal Financial and Accounting Officer)





Exhibit 99.1
https://cdn.kscope.io/578990dc58842d4a983c5eadb3396783-sibnq42018earnrel_image1a01.jpg

SI-BONE, Inc. Reports Fourth Quarter and Full Year 2018 Financial Results
Provides Full Year 2019 Financial Outlook

SANTA CLARA, Calif. March 07, 2019 - SI-BONE, Inc. (Nasdaq:SIBN), a medical device company that pioneered the minimally invasive surgical treatment of the sacroiliac joint with the iFuse Implant System, today reported financial results for the three months and full year ended December 31, 2018.

Recent Highlights
Revenues of $55.4 million for 2018, representing a 15% increase over 2017
Revenues of $15.6 million for the fourth quarter of 2018, representing a 13% increase over fourth quarter 2017
FDA clearance of the iFuse Bedrock technique for use in adult deformity patients with sacroiliac joint dysfunction
Exclusive payer coverage policies from BlueCross BlueShield of Arizona, CareFirst BlueCross BlueShield, Premera Blue Cross, and Excellus BlueCross BlueShield
Non-exclusive payer policy changed to exclusive coverage of iFuse by Highmark Blue Cross Blue Shield based upon the eviCore iFuse exclusive guidelines
Publication in Journal of Bone and Joint Surgery of 2-year results from iMIA, a European multi-center level 1 randomized controlled trial comparing sacroiliac joint fusion with the iFuse Implant System to conservative care

“Our fourth quarter 2018 accomplishments and first quarter 2019 announcements reflect the ongoing strength of our business building robust clinical data and expanding our reimbursement coverage,” said Jeffrey Dunn, President, Chief Executive Officer, and Chairman. “During the fourth quarter of 2018, we also executed on our commitment to expand into adjacent markets with the recent clearance of the iFuse Bedrock technique for use in adult deformity procedures. We are entering 2019 in a strong competitive position and are continuing to strengthen our position as the market leader in sacro-pelvic solutions. We remain confident that our focus on clinical data, education and innovation will continue to position the company for long term success.”

Fourth Quarter 2018 Financial Results
Revenue was $15.6 million for the fourth quarter of 2018, a 13% increase from $13.8 million in the prior year period. U.S. revenue was $14.5 million, an increase of 16% from the prior year period, and international revenue was $1.1 million.  The increase primarily was driven by higher domestic case volumes from improved U.S. reimbursement coverage.

Gross margin was 91% for the fourth quarter of 2018, consistent with the prior year period.

Operating expenses were $18.5 million for the fourth quarter of 2018, as compared to $14.2 million in the prior year period, an increase of 31%. The increase in operating expense primarily was due to increased investment in field





operations to take advantage of improved payer coverage as well as higher general and administrative spending for public company related costs.

Operating loss was $4.3 million in the fourth quarter of 2018, as compared to $1.6 million in the prior year period.

Net loss was $5.3 million, or $(0.26) per diluted share for the fourth quarter of 2018, as compared to $4.9 million, or $(1.39) per diluted share in the prior year period.

Non-GAAP net loss per share was $(0.22) for the three months ended December 31, 2018. The non-GAAP net loss calculation assumes the inclusion of IPO shares and conversion of preferred stock and warrants outstanding into common stock for the entire period. The non-GAAP shares used to compute basic and diluted net loss per share were the 24,450,757 shares outstanding at December 31, 2018.

2018 Financial Results
Revenue was $55.4 million for 2018, a 15% increase from $48.0 million in the prior year period.  U.S. revenue was $50.1 million, an increase of 16% from the prior year period, and international revenue was $5.2 million, a 13% increase from the prior year period. The increase primarily was driven by higher domestic and international case volumes.

Gross margin was 91% for the full year of 2018, as compared to 89% in the prior year period. The higher gross margin primarily was the result of cost management activities during the first half of 2018.

Operating expenses were $62.5 million for the full year of 2018, as compared to $60.2 million in the prior year period, an increase of 4%. The increase in operating expense primarily was due to increased investment in field operations in the second half of the year to take advantage of improved payer coverage.

Operating loss was $12.0 million in full year 2018, as compared to $17.4 million in the prior year period.

Net loss was $17.5 million, or $(2.20) per diluted share for full year 2018, as compared to $23.0 million, or $(6.65) per diluted share in the prior year period.

Non-GAAP net loss per share was $(0.71) for the year ended December 31, 2018. The non-GAAP net loss calculation assumes the inclusion of IPO shares and conversion of preferred stock and warrants outstanding into common stock for the entire period. The non-GAAP shares used to compute basic and diluted net loss per share were the 24,450,757 shares outstanding at December 31, 2018.

Cash, cash equivalents and short-term investments were $122.2 million as of December 31, 2018.

2019 Financial Guidance
SI-BONE expects full year 2019 revenue to be in a range of $65.0 million to $66.5 million, representing growth of 17-20% over full year 2018 revenue.






Webcast and Conference Call Information
SI-BONE will host a conference call to discuss the fourth quarter and full year 2018 financial results after market close on Thursday, March 7, 2018 at 4:30 P.M. Eastern Time. The conference call can be accessed live over the phone (866) 470-1968 for domestic callers or (409) 217-8248 for international callers, using conference ID: 5682385. The webcast can be accessed at http://investor.SI-BONE.com.

About SI-BONE, Inc.
SI-BONE is a medical device company that pioneered the iFuse Implant System, a minimally invasive surgical system for fusion of the sacroiliac joint to treat sacroiliac joint dysfunction. The SI joint is believed to be the last major joint to have a clinically proven surgical treatment. The iFuse Implant, commercially available since 2009, is believed to be the only SI joint fusion device supported by multiple prospective clinical studies showing improved pain, patient function and quality of life resulting from treatment. There are more than 65 peer-reviewed publications supporting the safety, effectiveness, and biomechanical and economic benefits unique to the iFuse Implant. This body of evidence has enabled multiple government and private payors to establish coverage of the SI joint fusion procedure exclusively when performed with the iFuse Implant System.

Forward Looking Statements
The statements in this press release regarding SI-BONE’s continued growth and financial outlook are “forward-looking” statements. These forward-looking statements are based on SI-BONE’s current expectations and inherently involve significant risks and uncertainties. These statements and risks include SI-BONE’s ability to expand our sales and marketing capabilities and increase demand for iFuse, expand geographically, and obtain favorable coverage and reimbursement determinations from third-party payors, SI-BONE’s projections about 2019 full year revenue. Actual results and the timing of events could different materially from those anticipated in such forward-looking statements as a result of the risks and uncertainties, which are described in the company’s filings on Form S-1, Form 10-Q and the company’s other filings with the Securities and Exchange Commission (SEC) available at the SEC’s Internet site (www.sec.gov). SI-BONE does not undertake any obligation to update forward-looking statements and expressly disclaims any obligations or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein.

Use of Non-GAAP Financial Measures
This press release includes the financial measure of non-GAAP net loss per share, which differs from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). The non-GAAP net loss calculation assumes the inclusion of IPO shares and conversion of preferred stock and warrants outstanding into common stock for the entire period. The non-GAAP shares used to compute basic and diluted net loss per share were the 24,450,757 shares outstanding at December 31, 2018. The non-GAAP net loss calculation is presented because the Company believes it is a useful indicator of its operating performance this year due to the IPO. The Company believes this measure is useful to investors as supplemental information because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry. The Company believes non-GAAP net loss per share is useful to its management and investors as a measure of comparative operating performance for the periods ended December 31, 2018. Non-GAAP net loss per share is a non-GAAP financial measure and should not be considered as an alternative to, or superior to, net loss per share as a measure of financial performance, or any other performance measure derived in accordance with GAAP, and it should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. Management compensates for these limitations by primarily relying on the Company’s GAAP results in addition to using non-





GAAP net loss per share on a supplemental basis. The Company’s definition of this measure is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

    
Investor Contact:
Lynn Lewis or Carrie Mendivil
investors@SI-BONE.com









SI-BONE, Inc.
Condensed Consolidated Statements of Operations
(in thousands, except percentages and per share data)
(unaudited)

 
 
Three Months Ended
 
Year ended
 
 
December 31,
 
December 31,
 
 
2018
 
2017
 
2018
 
2017
Revenue
 
$
15,624

 
$
13,769

 
$
55,380

 
$
47,983

Cost of goods sold
 
1,382

 
1,218

 
4,833

 
5,112

     Gross profit
 
14,242

 
12,551

 
50,547

 
42,871

     Gross margin
 
91
%
 
91
%
 
91
%
 
89
%
 
 
 
 
 
 
 
 
 
Operating expenses:
 
 
 
 
 
 
 
 
     Sales and marketing
 
12,607

 
10,659

 
44,497

 
41,646

     Research and development
 
1,501

 
1,279

 
5,376

 
5,513

     General and administrative
 
4,441

 
2,254

 
12,639

 
13,062

Total operating expenses
 
18,549

 
14,192

 
62,512

 
60,221

 
 
 
 
 
 
 
 
 
Loss from operations
 
(4,307
)
 
(1,641
)
 
(11,965
)
 
(17,350
)
     Interest and other income (expense), net
 
(1,004
)
 
(3,263
)
 
(5,488
)
 
(5,689
)
 
 
 
 
 
 
 
 
 
Net loss
 
$
(5,311
)
 
$
(4,904
)
 
$
(17,453
)
 
$
(23,039
)
 
 
 
 
 
 
 
 
 
Net loss per share, basic and diluted
 
$
(0.26
)
 
$
(1.39
)
 
$
(2.20
)
 
$
(6.65
)
 
 
 
 
 
 
 
 
 
Weighted-average number of common shares used to
 
 
 
 
 
 
 
 
     compute basic and diluted net loss per share
 
20,593,028

 
3,522,202

 
7,950,284

 
3,467,096

 
 
 
 
 
 
 
 
 





SI-BONE, Inc.
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)

 
 
December 31,
 
 
2018
 
2017
ASSETS
 
 
 
 
CURRENT ASSETS
 
 
 
 
     Cash and cash equivalents
 
$
25,120

 
$
22,408

     Short-term investments
 
97,103

 

     Accounts receivable, net
 
8,486

 
7,416

     Inventory
 
3,343

 
2,553

     Prepaid expenses and other current assets
 
1,990

 
1,252

          Total current assets
 
136,042

 
33,629

     Property and equipment, net
 
2,154

 
1,896

     Other non-current assets
 
325

 
309

          TOTAL ASSETS
 
$
138,521

 
$
35,834

 
 
 
 
 
LIABILITIES, REDEEMABLE CONVERTIBLE PREFERRED STOCK
 
 
 
 
     AND STOCKHOLDERS' EQUITY (DEFICIT)
 
 
 
 
CURRENT LIABILITIES
 
 
 
 
     Accounts payable
 
$
2,146

 
$
1,814

     Accrued liabilities and other
 
6,860

 
5,724

          Total current liabilities
 
9,006

 
7,538

     Redeemable convertible preferred stock warrants
 

 
422

     Long-term borrowings
 
38,963

 
38,704

     Other long-term borrowings
 
360

 

          TOTAL LIABILITIES
 
48,329

 
46,664

 
 
 
 
 
          Redeemable convertible preferred stock
 

 
118,548

 
 
 
 
 
          TOTAL STOCKHOLDERS' EQUITY (DEFICIT)
 
90,192

 
(129,378
)
 
 
 
 
 
          TOTAL LIABILITIES, REDEEMABLE CONVERTIBLE PREFERRED STOCK
 
 
 
 
               AND STOCKHOLDERS' EQUITY (DEFICIT)
 
$
138,521

 
$
35,834