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SI logoShoulder Innovations, Inc.(SI)Earnings, Financials & Key Ratios

SI•NYSE
Price updated Jun 19, 2026
SectorHealthcareIndustryMedical SpecialtiesSub-IndustryOrthopedic joint replacement implants
AboutShoulder Innovations, Inc. manufactures medical devices. It has developed a shoulder replacement system. The company was founded by Stephen B. Gunther and Michael DeVries in 2009 and is headquartered in Grand Rapids, MI.Show more
  • Revenue$47M+49.6%
  • EBITDA-$26M-111.1%
  • Net Income-$40M-158.4%
  • EPS (Diluted)-0.52+32.5%
  • Gross Margin76.51%-0.6%
  • EBITDA Margin-55.58%-41.1%
  • Operating Margin-55.58%-19.9%
  • Net Margin-85.29%-72.7%
  • ROE-80.52%

SI Key Insights

Shoulder Innovations, Inc. (SI) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Company is almost debt free
  • ✓Momentum leader: RS Rating 86 (top 14%)

✗Weaknesses

  • ✗Weak Piotroski F-Score: 2/9
  • ✗Negative free cash flow
  • ✗Shares diluted 100.0% in last year
  • ✗Low asset turnover indicates capital-intensive operations

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

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SI Price & Volume

Shoulder Innovations, Inc. (SI) stock price & volume — 10-year historical chart

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SI Growth Metrics

Shoulder Innovations, Inc. (SI) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years-
3 Years-
TTM-

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM-

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM-

Return on Capital

10 Years-26.9%
5 Years-26.9%
3 Years-26.9%
Last Year-24.68%

SI Recent Earnings

Shoulder Innovations, Inc. (SI) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 2/12 qtrs (50%)●Beat Revenue 3/12 qtrs (75%)
Q2 2026Latest
May 13, 2026
Metric
Actual
Est
EPS
$0.41+6.8%
$0.44
Rev
$17M+14.9%
$15M
Q2 2026
Mar 10, 2026
Metric
Actual
Est
EPS
$0.38+9.5%
$0.42
Rev
$14M+12.7%
$13M
Q4 2025
Nov 11, 2025
Metric
Actual
Est
EPS
$0.48-53.1%
$0.31
Rev
$12M-8.1%
$13M
Q4 2025
Sep 9, 2025
Metric
Actual
Est
EPS
$64.47-10131.7%
$0.63
Rev
$11M+11.6%
$10M
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMay 13, 2026
$0.41vs $0.44+6.8%
$17Mvs $15M+14.9%
Q2 2026Mar 10, 2026
$0.38vs $0.42+9.5%
$14Mvs $13M+12.7%
Q4 2025Nov 11, 2025
$0.48vs $0.31-53.1%
$12Mvs $13M-8.1%
Q4 2025Sep 9, 2025
$64.47vs $0.63-10131.7%
$11Mvs $10M+11.6%
Based on last 12 quarters of dataView full earnings history →

SI Peer Comparison

Shoulder Innovations, Inc. (SI) competitors in Orthopedic joint replacement implants — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
Institutional Holdings
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
GMED logoGMEDGlobus Medical, Inc.Direct Competitor10.69B79.2320.2116.65%18.92%13.04%0.03
ATEC logoATECAlphatec Holdings, Inc.Direct Competitor1.33B8.81-9.1824.95%-21.07%-443.09%17.21
XTNT logoXTNTXtant Medical Holdings, Inc.Direct Competitor61.8M0.4414.6914.21%1.5%3.68%0.56
NVCR logoNVCRNovoCure LimitedDirect Competitor1.62B14.28-11.708.28%-25.66%-50.82%0.85
ZBH logoZBHZimmer Biomet Holdings, Inc.Product Competitor17.22B87.9724.787.2%9.05%5.77%0.59
SYK logoSYKStryker CorporationProduct Competitor117.88B307.8036.6411.16%12.92%15.04%0.66
JNJ logoJNJJohnson & JohnsonProduct Competitor550.4B228.3939.454.3%27.26%31.69%0.51
HOLX logoHOLXHologic, Inc.Product Competitor16.97B76.0130.531.74%13.18%11.01%0.52

Compare SI vs Peers

Shoulder Innovations, Inc. (SI) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs GMED

Most directly comparable listed peer for SI.

Scale Benchmark

vs JNJ

Larger-name benchmark to compare SI against a more recognizable public peer.

Peer Set

Compare Top 5

vs GMED, ATEC, XTNT, NVCR

SI Income Statement

Shoulder Innovations, Inc. (SI) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
MetricDec'23Dec'24Dec'25TTM
Sales/Revenue
19.27M31.62M47.32M53.89M
Revenue Growth %
-64.07%49.63%-
Cost of Goods Sold
4M7.28M11.12M12.5M
COGS % of Revenue
20.77%23.03%23.49%-
Gross Profit
15.27M▲ 0%
24.34M▲ 59.4%
36.2M▲ 48.7%
41.4M▲ 0%
Gross Margin %
79.23%76.97%76.51%76.81%
Gross Profit Growth %
-59.4%48.73%-
Operating Expenses
26.13M38.99M62.5M72.38M
OpEx % of Revenue
135.59%123.31%132.09%-
Selling, General & Admin
23.11M34.51M54.77M62.47M
SG&A % of Revenue
119.92%109.11%115.75%-
Research & Development
3.02M4.49M7.73M9.9M
R&D % of Revenue
15.67%14.2%16.34%-
Other Operating Expenses
0000
Operating Income
-10.86M▲ 0%
-14.65M▼ 34.9%
-26.3M▼ 79.5%
-30.98M▲ 0%
Operating Margin %
-56.37%-46.34%-55.58%-57.48%
Operating Income Growth %
--34.88%-79.47%-
EBITDA
-9.22M-12.46M-26.3M-29.42M
EBITDA Margin %
-47.85%-39.39%-55.58%-54.59%
EBITDA Growth %
--35.06%-111.1%-
D&A (Non-Cash Add-back)
1.64M2.2M01.56M
EBIT
-11.89M-14.3M-26.3M-45.11M
Net Interest Income
-761K-1.32M-70K733K
Interest Income
0000
Interest Expense
761K1.32M70K-733K
Other Income/Expense
-1.79M-966K-14.06M-13.1M
Pretax Income
-12.65M▲ 0%
-15.62M▼ 23.4%
-40.36M▼ 158.4%
-44.08M▲ 0%
Pretax Margin %
-65.66%-49.39%-85.29%-81.78%
Income Tax
0000
Effective Tax Rate %
0%0%0%0%
Net Income
-12.65M▲ 0%
-15.62M▼ 23.4%
-40.36M▼ 158.4%
-44.08M▲ 0%
Net Margin %
-65.66%-49.39%-85.29%-81.78%
Net Income Growth %
--23.42%-158.4%-
Net Income (Continuing)
-12.65M-15.62M-40.36M-44.08M
Discontinued Operations
0000
Minority Interest
0000
EPS (Diluted)
-0.63▲ 0%
-0.77▼ 22.2%
-0.52▲ 32.5%
-2.13▲ 0%
EPS Growth %
--22.22%32.47%-
EPS (Basic)
-0.63-0.77-0.52-
Diluted Shares Outstanding
19.92M19.92M78.32M20.65M
Basic Shares Outstanding
19.92M19.92M78.32M20.65M
Dividend Payout Ratio
----

SI Balance Sheet

Shoulder Innovations, Inc. (SI) balance sheet — assets, liabilities & shareholders' equity

MetricDec'23Dec'24Dec'25TTM
Total Current Assets
47.85M35.13M157.16M145.78M
Cash & Short-Term Investments
32.81M15.04M124.31M108.54M
Cash Only
6.24M6.12M26.87M11.49M
Short-Term Investments
26.58M8.92M78K97.05M
Accounts Receivable
4.69M5.12M8.27M10.55M
Days Sales Outstanding
88.8759.1263.7855.5
Inventory
9.92M13.96M21.59M21.83M
Days Inventory Outstanding
904.57699.47709.02425.49
Other Current Assets
0573K3M4.86M
Total Non-Current Assets
6.45M7.96M12.74M14.59M
Property, Plant & Equipment
5.75M7.55M12.64M14.56M
Fixed Asset Turnover
3.35x4.19x3.74x4.60x
Goodwill
0000
Intangible Assets
700K400K100K25K
Long-Term Investments
0000
Other Non-Current Assets
0000
Total Assets
54.29M▲ 0%
43.08M▼ 20.7%
169.91M▲ 294.4%
160.36M▲ 0%
Asset Turnover
0.35x0.73x0.28x0.37x
Asset Growth %
--20.65%294.4%178.77%
Total Current Liabilities
4.28M7.65M-7.77M12.34M
Accounts Payable
1.96M4.86M05.92M
Days Payables Outstanding
178.58243.6-87.38
Short-Term Debt
0062K50K
Deferred Revenue (Current)
0000
Other Current Liabilities
228K554K-7.83M6.37M
Current Ratio
11.17x4.59x-11.81x
Quick Ratio
8.85x2.77x-10.04x
Cash Conversion Cycle
814.86514.99-393.61
Total Non-Current Liabilities
89.75M90.13M14.96M14.96M
Long-Term Debt
14.35M14.66M14.96M14.96M
Capital Lease Obligations
71K25K00
Deferred Tax Liabilities
0000
Other Non-Current Liabilities
75.33M75.44M00
Total Liabilities
94.03M97.78M14.96M15M
Total Debt
14.46M14.73M15.02M15.01M
Net Debt
8.23M8.61M-11.85M3.52M
Debt / Equity
--0.10x0.11x
Debt / EBITDA
----0.51x
Net Debt / EBITDA
----0.12x
Interest Coverage
-15.63x-10.87x-375.67x61.54x
Total Equity
-39.74M▲ 0%
-54.7M▼ 37.6%
154.94M▲ 383.3%
133.02M▲ 0%
Equity Growth %
--37.64%383.29%281.87%
Book Value per Share
-1.99-2.751.986.44
Total Shareholders' Equity
34.74M19.78M154.94M133.02M
Common Stock
1K1K20.6B21K
Retained Earnings
-41.42M-57.04M0-105.78M
Treasury Stock
0000
Accumulated OCI
356K197K0-64K
Minority Interest
0000

SI Cash Flow Statement

Shoulder Innovations, Inc. (SI) cash flow — operating, investing & free cash flow history

MetricDec'23Dec'24Dec'25TTM
Cash from Operations
-13.14M-14.14M-28.61M-34.49M
Operating CF Margin %
-68.2%-44.72%-60.47%-
Operating CF Growth %
--7.6%-102.31%-90.8%
Net Income
-12.65M-15.62M-40.36M-44.08M
Depreciation & Amortization
1.64M2.2M3.21M3.67M
Stock-Based Compensation
451K754K996K1.59M
Deferred Taxes
0000
Other Non-Cash Items
2.18M-437K7.54M1.8M
Working Capital Changes
-4.76M-1.04M02.51M
Change in Receivables
-2.69M-575K-3.3M-4.23M
Change in Inventory
-2.41M-4.03M-7.64M-8.72M
Change in Payables
-737K3.12M3.37M2.27M
Cash from Investing
-28.97M13.96M-95.6M-85.65M
Capital Expenditures
-2.75M-4.01M-7.41M-9.3M
CapEx % of Revenue
14.26%12.7%15.66%17.26%
Acquisitions
0000
Investments
----
Other Investing
0000
Cash from Financing
44.73M66K144.96M125.26M
Debt Issued (Net)
10M000
Equity Issued (Net)
34.88M66K0-19.63M
Dividends Paid
0000
Share Repurchases
0000
Other Financing
-149K0144.96M144.9M
Net Change in Cash
2.61M▲ 0%
-113K▼ 104.3%
20.75M▲ 18461.1%
5.12M▲ 0%
Free Cash Flow
-15.89M▲ 0%
-18.16M▼ 14.3%
-36.02M▼ 98.4%
-43.79M▲ 0%
FCF Margin %
-82.45%-57.42%-76.12%-81.26%
FCF Growth %
--14.26%-98.37%-
FCF per Share
-0.80-0.91-0.46-2.12
FCF Conversion (FCF/Net Income)
1.04x0.91x0.71x0.99x
Interest Paid
901K1.78M0-431K
Taxes Paid
0000

SI Key Ratios

Shoulder Innovations, Inc. (SI) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric20242025TTM
Return on Equity (ROE)
--80.52%-35.31%
Return on Invested Capital (ROIC)
--40.66%-21.18%
Gross Margin
76.97%76.51%76.81%
Net Margin
-49.39%-85.29%-81.78%
Debt / Equity
-0.10x0.11x
Interest Coverage
-10.87x-375.67x61.54x
FCF Conversion
0.91x0.71x0.99x
Revenue Growth
64.07%49.63%-
Related:SI Dividend History·SI Revenue History·SI Price History·SI P/E History·SI Financial Ratios·SI Institutional Holders

SI SEC Filings & Documents

Shoulder Innovations, Inc. (SI) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

May 13, 2026·SEC

Material company update

Apr 27, 2026·SEC

Material company update

Apr 14, 2026·SEC

10-K Annual Reports

1
FY 2026

Mar 10, 2026·SEC

10-Q Quarterly Reports

3
FY 2026

May 13, 2026·SEC

FY 2025

Nov 12, 2025·SEC

FY 2025

Sep 9, 2025·SEC

SI Frequently Asked Questions

Shoulder Innovations, Inc. (SI) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Shoulder Innovations, Inc. (SI) reported $53.9M in revenue for fiscal year 2025. This represents a 180% increase from $19.3M in 2023.

Shoulder Innovations, Inc. (SI) grew revenue by 49.6% over the past year. This is strong growth.

Shoulder Innovations, Inc. (SI) reported a net loss of $44.1M for fiscal year 2025.

Dividend & Returns

Shoulder Innovations, Inc. (SI) has a return on equity (ROE) of -80.5%. Negative ROE indicates the company is unprofitable.

Shoulder Innovations, Inc. (SI) had negative free cash flow of $43.8M in fiscal year 2025, likely due to heavy capital investments.

What if you invested $1,000 in SI back in 2023?

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