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SIBNSI-BONE, Inc.Sell5.6·$19.16+1.27%
SellModerate Confidence
Investment thesis

SI-BONE has posted a perfect 4-quarter earnings beat streak and holds a strong Piotroski score, but quality sits below the engine's floor on a failed Rule of 40 test, the V9 panel hard-blocks on a death cross, and both short interest and insider selling point to bearish positioning.

Thesis pillars

  • Quality Below Floor Rule Of 40 FailStable
  • Death Cross Hard BlockStable
  • Perfect Earnings Beat StreakStable
  • +2 more pillars — see the Why tab for full reasoning

Full reasoning →

Open full analysis

SI-BONE, Inc. (SIBN) Stock Analysis

Range Bound setup

SellVALUE-TRAP 2/5GrowthModerate Confidence

Healthcare · Medical Devices

Sell if holding. Engine safety override at $19.16: Quality below floor (3.4 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.6/10 and A.R:R 1.7:1 is above the 1.5:1 BUY gate. Specifically: High short interest: 14%; Elevated put/call ratio: 6.50; Below-average business quality.

SI-BONE, Inc., a medical device company, develops procedural solutions for compromised bone, grounded in expertise in biomechanical design and anatomy-specific applications in the United States and internationally. It offers a series of patented titanium implants and the... Read more

$19.16+13.5% A.UpsideScore 5.6/10#26 of 64 Medical Devices
QualityF-score8 / 9FCF yield-0.10%
Stop $17.88Target $21.75(analyst − 13%)A.R:R 1.7:1
Analyst target$25.00+30.5%9 analysts
$21.75our TP
$19.16price
$25.00mean
$32

Sell if holding. Engine safety override at $19.16: Quality below floor (3.4 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.6/10 and A.R:R 1.7:1 is above the 1.5:1 BUY gate. Specifically: High short interest: 14%; Elevated put/call ratio: 6.50; Below-average business quality. Chart setup: RSI 53 mid-range, Bollinger mid-band. Score 5.6/10, moderate confidence.

Passes 7/8 gates (positive momentum, favorable risk/reward ratio, no SEC red flags, news events none recent, earnings proximity 68d clear, semi cycle peak clear, materials cycle peak clear). Suitability: aggressive.

news + 30-day 8-K events · 5-min refresh

Recent developments

updated 2026-09-03

Recent Developments — SI-BONE, Inc.

Generated 2026-09-03T14:22:19Z.

TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Mon, Nov 9, 202668d to earnings· next earnings call

Thesis

Rewards
No bull case signals
Risks
Quality below floor (3.4 < 4.0)
Value-trap signals (2/5): Revenue declining (-7.6% YoY), Margin compression (op margin -142.6%)

Key Metrics

P/E (TTM)
P/E (Fwd)-57.2
Mkt Cap$848M
EV/EBITDA-65.8
Profit Mgn-6.9%
ROE-8.3%
Rev Growth15.2%
Beta0.70
DividendNone
Rating analysts16

Quality Signals

Piotroski F8/9MoatNarrow

Options Flow

P/C6.50bearish
IV58%elevated

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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Methodology · Editorial policy & full disclaimer

Rating Breakdown

1 floor-breaker

Unprofitable operations — net margin -6.9%. Quality floor flags this regardless of sector context.static

Roe
0.0
Roa
0.0
Operating Margin
0.0
Net Margin
0.0
Fcf Quality
0.0
Rule Of 40
3.0
Current Ratio
5.0
Moat
7.2
Piotroski F
8.9
Gross Margin
10.0
Cash-burning: FCF -0% of revenueRule of 40: 15 (fail)Strong Piotroski F-Score: 8/9
GatesINSIDER 0.15%=MODERATEMomentum 6.7>=5.5A.R:R 1.7 ≥ 1.5No SEC red flagsNEWS EVENTS NONE RECENTEARNINGS PROXIMITY 68d clearSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARRange BoundSuitability: Aggressive
RSI
53 · Neutral
20D MA 50D MA 200D MAGOLDEN CROSSSupport $17.65Resistance $20.30

Price Targets

$18
$22
A.Upside+13.5%
A.R:R1.7:1

Position Sizing

ConvictionNone
Suggested %0.5%
Max %1%
RegimeSteady

Risk Alerts

! Quality below floor (3.4 < 4.0)
! Value-trap signals (2/5): Revenue declining (-7.6% YoY), Margin compression (op margin -142.6%)

Earnings

B
B
B
B
4/4 beats
Next Earnings2026-11-09 (68d)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is SIBN stock a buy right now?

Sell if holding. Engine safety override at $19.16: Quality below floor (3.4 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.6/10 and A.R:R 1.7:1 is above the 1.5:1 BUY gate. Specifically: High short interest: 14%; Elevated put/call ratio: 6.50; Below-average business quality. Chart setup: RSI 53 mid-range, Bollinger mid-band. Prior stop was $17.88. Score 5.6/10, moderate confidence.

What is the SIBN stock price target?

Take-profit target: $21.75 (+13.5% upside). Prior stop was $17.88. Stop-loss: $17.88.

What are the risks of investing in SIBN?

Quality below floor (3.4 < 4.0); Value-trap signals (2/5): Revenue declining (-7.6% YoY), Margin compression (op margin -142.6%).

Is SIBN overvalued or undervalued?

SI-BONE, Inc. trades at a P/E of N/A (forward -57.2). TrendMatrix value score: 6.6/10. Verdict: Sell.

What do analysts say about SIBN?

16 analysts cover SIBN with a consensus score of 4.2/5. Average price target: $25.

What does SI-BONE, Inc. do?SI-BONE, Inc., a medical device company, develops procedural solutions for compromised bone, grounded in expertise in...

SI-BONE, Inc., a medical device company, develops procedural solutions for compromised bone, grounded in expertise in biomechanical design and anatomy-specific applications in the United States and internationally. It offers a series of patented titanium implants and the instruments used to implant them, as well as implantable bone products. The company also provides IFUSE, a triangular titanium implant with a triangular cross-section and porous surface that stabilizes the joint and facilitates the biological fixation of the bone onto the implant to drive fusion; IFUSE 3D, a triangular titanium implant with a porous surface and fenestrated design to self-harvest bone; IFUSE BONE, which supports and augments the patient's own bone tissue in orthopedic procedures; IFUSE TORQ, an additively-manufactured threaded implant designed to allow for osteointegration, or incorporation of the bone into the implant's porous surface and structure; IFUSE BEDROCK GRANITE, an implant with a machined titanium core and a tulip that attaches to the rod and provides fusion and fixation to the sacroiliac joint as a foundational element for segmental spinal fusion; and IFUSE TORQ TNT, a porous threaded design with lengths capable of spanning the posterior pelvis, passing through the ipsilateral ilium, sacrum, and through the contralateral ilium. The company markets its products primarily with a direct sales force, as well as through third-party sales agents and resellers. SI-BONE, Inc. was incorporated in 2008 and is headquartered in Santa Clara, California.

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