Shoulder Innovations, Inc. (SI) AI Stock Analysis
SI AI stock analysis summary
AI ResearchShoulder Innovations, Inc. is a medical device company focused on implant systems for shoulder arthroplasty. The company achieved a 2-year revenue CAGR of 56.7% from FY2023 to FY2025, reaching $47.3M in FY2025 revenue. However, profitability remains negative, with net income of -$40.4M in FY2025 and free cash flow of -$36.0M.
- Market cap
- $376.6M
- Revenue (TTM)
- $60.1M
- P/E
- 22.3x
- 1Y return
- 47.1% S&P 500 16.8%
- Avg. target
- $26.50 46.5% vs last close
Bull case
- Revenue increased at a 2-year CAGR of 56.7% from FY2023 to FY2025, reaching $47.3M.
- Gross margins have remained high, registering at 76.5% in FY2025 and 77.0% in FY2024.
- The company maintains a strong liquidity position, with net cash of $84.1M and a current ratio of 10.71 as of June 30, 2026.
Bear case
- Net losses expanded substantially to -$40.4M in FY2025 from -$15.6M in FY2024.
- Cash burn is high, with free cash flow standing at -$36.0M and operating cash flow at -$28.6M in FY2025.
- Analyst consensus projects continued unprofitability, with an estimated EPS of -$1.86 for FY2026 and -$1.58 for FY2027.
What Shoulder Innovations does
Shoulder Innovations, Inc. engages in the provision of medical devices. It focuses on transforming the shoulder surgical care market. It also offers advanced implant systems for shoulder arthroplasty. The company was founded by Stephen B. Gunther and Michael DeVries in 2009 and is headquartered in Grand Rapids, MI.
Growth and profitability
Shoulder Innovations expanded its revenue from $19.3M in FY2023 to $31.6M in FY2024, representing growth of 64.1%, and further grew 49.6% to $47.3M in FY2025. Gross margin stood at 79.2% in FY2023, 77.0% in FY2024, and 76.5% in FY2025. Operating margins remained negative over this period at -56.4% in FY2023, -46.3% in FY2024, and -55.6% in FY2025. Net income widened from -$12.7M in FY2023 to -$15.6M in FY2024 and -$40.4M in FY2025, yielding an EPS of -$1.96 in FY2025. For the trailing twelve months ended June 30, 2026, revenue totaled $60.1M, with operating margin and profit margin both recorded at 0.0%, and EPS at $0.00.
Balance sheet and cash flow
As of June 30, 2026, Shoulder Innovations held $99.0M in cash and short-term investments against total debt of $14.8M, resulting in net cash of $84.1M. Shareholders' equity was $124.3M and total assets stood at $152.0M. The current ratio was 10.71, with a debt-to-equity ratio of 0.12. Operating cash flow was -$28.6M in FY2025, and free cash flow was -$36.0M after accounting for capital expenditures of $7.4M.
Valuation and performance
Shoulder Innovations trades at an enterprise value of $277.5M and a market cap of $376.6M. Its trailing P/E is 22.3x, compared to 24.6x for the median of its US-listed Healthcare peers. Its price-to-sales multiple is 6.0x, above the peer median of 4.1x, while its EV-to-revenue ratio sits at 4.6x and price-to-book is 2.9x. The stock has gained 47.1% over the past year, outperforming the S&P 500's return of 16.8%, and is up 26.5% year-to-date.
What analysts expect
Wall Street coverage includes 3 Strong Buy ratings and 1 Buy rating, with no Hold, Sell, or Strong Sell ratings. The mean price target is $26.50, representing an upside of 46.5% relative to the last close of $18.09. Analysts estimate current fiscal year revenue of $68.4M and EPS of -$1.86 for the period ending December 31, 2026. For the next fiscal year, 3 analysts project revenue of $88.4M, indicating 29.2% growth, alongside an EPS estimate of -$1.58. The company has beat EPS estimates in 1 of the last 4 quarters, and the next earnings date is November 10, 2026.
Key risks and what to watch
- The company has continued negative operating cash flow, reporting -$28.6M in FY2025.
- Earnings track record shows only 1 EPS beat across the last 4 quarters.
- The stock has shown significant price volatility, trading between a 52-week low of $10.92 and a 52-week high of $49.23.
AI-generated research summary. Written with AI from Quotelinks data as of October 16, 2026 and checked so every figure matches that data. For information only, not investment advice. Disclaimer
About this SI AI stock analysis
This page is an AI-written research summary of Shoulder Innovations, Inc. (SI). The text was generated on October 30, 2026 from Quotelinks data as of October 16, 2026 (company profile, annual results, latest balance sheet, valuation, price performance and analyst estimates). An automatic check rejects any draft that contains a figure not found in that data. It is not investment advice; verify figures on the linked tabs before making decisions.
Related: SI income statement, SI balance sheet, SI key metrics, SI analyst forecast, SI chart. See the SI stock overview for the latest quote and news.
SI AI stock analysis FAQ
What is Shoulder Innovations' core business?
Shoulder Innovations, Inc. provides medical devices, focusing on the shoulder surgical care market and offering advanced implant systems for shoulder arthroplasty.
What are analysts forecasting for Shoulder Innovations' revenue and earnings?
For the fiscal year ending December 31, 2026, analysts estimate revenue of $68.4M and an EPS of -$1.86. For the next fiscal year, revenue is projected at $88.4M with an EPS of -$1.58.
What is Shoulder Innovations' cash and debt position?
As of June 30, 2026, Shoulder Innovations had $99.0M in cash and short-term investments, $14.8M in total debt, and a net cash balance of $84.1M.
Does Shoulder Innovations pay a dividend?
Shoulder Innovations does not pay a dividend.