SI
SHOULDER INNOVATIONS, INC.SHOULDER INNOVATIONS, INC. reported revenue of $47.32M in its most recent fiscal year, up 49.6% on the year before. It kept -85.3% of that as net income, and generated -$36.02M of free cash flow. Figures below are compared against other companies classified under Surgical & Medical Instruments & Apparatus.
Grades vs. industry
Growth
| Metric | Company | Industry median | Rank |
|---|---|---|---|
Revenue growth (YoY) Latest fiscal year revenue vs. the year before. | 49.6% | 14.2% | 16 / 102 |
Revenue growth (3y) Annualized revenue growth over three fiscal years. | Not reported | 13.8% | — |
Revenue growth (5y) Annualized revenue growth over five fiscal years. | Not reported | 15.3% | — |
EPS growth (YoY) Diluted EPS vs. the prior fiscal year. | Not reported | 9.0% | — |
EPS growth (3y) Annualized diluted EPS growth over three fiscal years. | Not reported | 17.1% | — |
EPS growth (5y) Annualized diluted EPS growth over five fiscal years. | Not reported | 9.5% | — |
Free cash flow growth (YoY) Operating cash flow less capital expenditure, vs. prior year. | Not reported | 5.7% | — |
Free cash flow growth (3y) Annualized free cash flow growth over three fiscal years. | Not reported | 25.6% | — |
top third of peersmiddle thirdbottom third. Rank 1 is always best — for debt and payout ratios that means the lowest figure, not the highest.
“Not reported” means the company did not tag this figure in its filing, not that the value is zero. Rankings are hidden where fewer than 5 classified peers reported the metric, and compare against a broad industry code rather than close competitors.
Profitability
| Metric | Company | Industry median | Rank |
|---|---|---|---|
Gross margin Gross profit as a share of revenue. Often unreported. | 76.5% | 61.6% | 20 / 102 |
Operating margin Operating income as a share of revenue. | -55.6% | -12.3% | 70 / 94 |
Net margin Net income as a share of revenue. | -85.3% | -17.8% | 79 / 98 |
Free cash flow margin Free cash flow as a share of revenue. | -76.1% | -4.4% | 74 / 91 |
Return on equity Net income divided by shareholder equity. | -28.7% | -28.8% | 55 / 110 |
Return on assets Net income divided by total assets. | -23.8% | -18.3% | 69 / 120 |
Return on invested capital After-tax operating profit over debt plus equity less cash. | -16.1% | -20.9% | 45 / 94 |
top third of peersmiddle thirdbottom third. Rank 1 is always best — for debt and payout ratios that means the lowest figure, not the highest.
“Not reported” means the company did not tag this figure in its filing, not that the value is zero. Rankings are hidden where fewer than 5 classified peers reported the metric, and compare against a broad industry code rather than close competitors.
Financial health
| Metric | Company | Industry median | Rank |
|---|---|---|---|
Debt to equity Total debt divided by shareholder equity. | 0.11x | 0.45x | 13 / 63 |
Current ratio Current assets over current liabilities. | 11.07x | 3.31x | 8 / 120 |
Quick ratio Current assets excluding inventory, over current liabilities. | 9.55x | 2.49x | 10 / 120 |
Interest coverage Operating income divided by interest expense. | -375.67x | -4.86x | 71 / 73 |
Net debt to EBITDA Net debt over derived EBITDA. EBITDA is not a GAAP tag; it is computed. | Not reported | 0.61x | — |
top third of peersmiddle thirdbottom third. Rank 1 is always best — for debt and payout ratios that means the lowest figure, not the highest.
“Not reported” means the company did not tag this figure in its filing, not that the value is zero. Rankings are hidden where fewer than 5 classified peers reported the metric, and compare against a broad industry code rather than close competitors.
Debt figures can be understated where a filer splits borrowings across XBRL tags this site does not match.
Insider activity
Trades reported by officers, directors and 10% shareholders on SEC Form 4. None of the last 21 reported transactions were open-market purchases — grants, option exercises and sales make up the majority of insider filings at most companies.
| Date | Insider | Transaction | Shares | Price | Value |
|---|---|---|---|---|---|
| Oct 5, 2026 | BUCKMAN PAUL Director | Grant or award | 1,275 | $19.60 | $25.0K |
| Oct 5, 2026 | Sidow Kevin K. Director | Grant or award | 892 | $19.60 | $17.5K |
| Oct 5, 2026 | Tansey Casey M Director, 10% owner | Grant or award | 733 | $19.60 | $14.4K |
| Oct 5, 2026 | Hykes Andrew Director | Grant or award | 669 | $19.60 | $13.1K |
| Sep 14, 2026 | Ball Robert Joseph CEO & Executive Chairman | Open-market sale | 10,175 | $18.45 | $187.7K |
| Sep 14, 2026 | Ball Robert Joseph CEO & Executive Chairman | Option exercise | 89,233 | $2.10 | $187.3K |
| Sep 14, 2026 | Ball Robert Joseph CEO & Executive Chairman | Option exercise(derivative) | 89,233 | $0.00 | $0.00 |
| Aug 26, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 1,196 | $22.60 | $27.0K |
| Aug 24, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 681 | $22.62 | $15.4K |
| Aug 21, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 20,516 | $22.61 | $463.9K |
| Aug 20, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 3,900 | $22.60 | $88.1K |
| Aug 18, 2026 | Ahearn Matthew Fraser Chief Operating Officer | Open-market sale | 12,586 | $20.94 | $263.5K |
| Aug 18, 2026 | Ahearn Matthew Fraser Chief Operating Officer | Open-market sale | 1,600 | $21.38 | $34.2K |
| Aug 17, 2026 | Ahearn Matthew Fraser Chief Operating Officer | Open-market sale | 8,314 | $20.10 | $167.1K |
| Aug 14, 2026 | Ahearn Matthew Fraser Chief Operating Officer | Gift | 2,500 | $0.00 | $0.00 |
| Aug 6, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 2,095 | $22.60 | $47.3K |
| Aug 5, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 7,338 | $22.64 | $166.1K |
| Aug 4, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 99,812 | $22.77 | $2.27M |
| Aug 3, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 10,751 | $22.71 | $244.2K |
| Jul 31, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 20,034 | $22.73 | $455.4K |
| Jul 30, 2026 | Gilde Healthcare Holding B.V. 10% owner | Open-market sale | 28,245 | $23.36 | $659.8K |
A dash under price or value means none was reported, which is normal for grants and gifts — it does not mean the shares were free. Option exercises and awards are compensation arriving on a schedule, not a judgement about the stock.
Annual financials
| Fiscal year | 2025 | 2024 |
|---|---|---|
| Revenue | $47.32M | $31.62M |
| Gross profit | $36.20M | $24.34M |
| Operating income | -$26.30M | -$14.65M |
| Net income | -$40.36M | -$15.62M |
| EPS (diluted) | -$4.65 | n/c |
| Operating cash flow | -$28.61M | -$14.14M |
| Capital expenditure | $7.41M | $4.01M |
| Free cash flow | -$36.02M | -$18.16M |
| Total assets | $169.91M | $43.08M |
| Shareholder equity | $140.75M | -$54.70M |
| Total debt | $14.91M | $14.66M |
| Cash | $26.87M | $6.12M |
A dash means the figure was not tagged in that year’s filing. It does not mean zero. Figures reflect the most recent filing covering each period, so restated years show their restated values.
n/c marks per-share figures that are not comparable. Companies report each year as their filings stated it, and an annual report restates only its two prior years — so after a stock split, older years remain on the pre-split share count. Totals above are unaffected.
Source
Figures come from SHOULDER INNOVATIONS, INC.’s filings with the SEC, as submitted in XBRL. The most recent annual figures are from a 10-K filed Mar 10, 2026. View filings on EDGAR.