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Shoulder Innovations, Inc. (SI)
NYSE:SI
US Market
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Shoulder Innovations, Inc. (SI) AI Stock Analysis

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SI

Shoulder Innovations, Inc.

(NYSE:SI)

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Neutral 41 (OpenAI - 4o)
Rating:41Neutral
Price Target:
$11.50
▲(4.07% Upside)
The overall stock score of 41 reflects significant financial challenges, including negative earnings and cash flow issues, compounded by bearish technical indicators. The lack of positive valuation metrics further weighs on the stock's attractiveness.
Positive Factors
Revenue Growth
The company's strong revenue growth suggests a robust demand for its products and potential for market expansion, enhancing its competitive position.
FDA Approval
FDA approval of new products can significantly enhance market credibility and open new revenue streams, supporting long-term growth.
Strong Gross Margin
A strong gross margin indicates efficient production and pricing strategies, which can support profitability as the company scales.
Negative Factors
Profitability Challenges
Ongoing profitability issues may limit the company's ability to reinvest in growth and innovation, impacting long-term sustainability.
High Operating Losses
High operating losses can strain financial resources, potentially leading to liquidity issues and limiting strategic flexibility.
Increased Leverage
Increased leverage heightens financial risk and may constrain the company's ability to invest in growth opportunities or weather downturns.

Shoulder Innovations, Inc. (SI) vs. SPDR S&P 500 ETF (SPY)

Shoulder Innovations, Inc. Business Overview & Revenue Model

Company DescriptionShoulder Innovations, Inc. (SI) is a medical technology company specializing in the development and commercialization of advanced orthopedic solutions specifically for shoulder surgeries. The company focuses on creating innovative surgical instruments and implants that improve patient outcomes and enhance surgical efficiency. Operating within the healthcare sector, SI aims to revolutionize shoulder surgery through its cutting-edge products that are designed for minimally invasive procedures.
How the Company Makes MoneyShoulder Innovations, Inc. generates revenue primarily through the sale of its orthopedic surgical products, including implants and instruments used in shoulder surgeries. The company utilizes a direct sales model, partnering with hospitals, surgical centers, and orthopedic surgeons to provide its products. Additionally, SI may engage in strategic partnerships with larger medical device companies to expand its distribution channels and market reach. Revenue is also supplemented through training programs for surgical staff and ongoing support services, ensuring that healthcare providers are well equipped to use SI's products effectively.

Shoulder Innovations, Inc. Financial Statement Overview

Summary
Shoulder Innovations, Inc. is experiencing revenue growth, but profitability and cash flow challenges persist. The company needs to address its high operating losses and improve cash flow management to enhance financial stability. The balance sheet shows increased leverage, which could be a risk if not carefully managed.
Income Statement
45
Neutral
Shoulder Innovations, Inc. shows a significant increase in revenue from the previous year, indicating growth potential. However, the company is struggling with profitability, as evidenced by negative net profit and EBIT margins. The gross profit margin remains strong, but the high operating losses are concerning.
Balance Sheet
50
Neutral
The company's debt-to-equity ratio has increased, suggesting a rise in leverage, which could pose a risk if not managed properly. The return on equity is negative, reflecting ongoing losses. However, the equity ratio indicates a reasonable level of equity financing relative to total assets.
Cash Flow
40
Negative
Cash flow from operations is negative, which is a concern for liquidity. The free cash flow to net income ratio is positive, indicating that the company is generating cash relative to its net losses, but the overall cash flow position is weak.
BreakdownTTMDec 2024Dec 2023
Income Statement
Total Revenue10.13M31.62M19.27M
Gross Profit7.79M24.34M15.27M
EBITDA-3.63M-12.76M-9.52M
Net Income-4.66M-15.62M-12.65M
Balance Sheet
Total Assets57.52M43.08M54.29M
Cash, Cash Equivalents and Short-Term Investments27.56M15.04M32.81M
Total Debt14.77M14.73M14.46M
Total Liabilities116.84M22.33M18.70M
Stockholders Equity-59.31M20.75M35.59M
Cash Flow
Free Cash Flow-7.32M-18.16M-15.89M
Operating Cash Flow-6.48M-14.14M-13.14M
Investing Cash Flow-13.07M13.96M-28.97M
Financing Cash Flow19.79M66.00K44.73M

Shoulder Innovations, Inc. Risk Analysis

Shoulder Innovations, Inc. disclosed 44 risk factors in its most recent earnings report. Shoulder Innovations, Inc. reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Shoulder Innovations, Inc. Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$5.19B45.218.30%11.49%-2.89%
75
Outperform
$1.95B41.9015.02%0.88%13.07%27.98%
71
Outperform
$1.83B290.704.52%14.05%241.86%
58
Neutral
$2.94B-540.40%27.11%17.66%
57
Neutral
$3.10B-82.51-0.35%-0.81%93.27%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
41
Neutral
$224.98M-7.0139.77%-122.70%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SI
Shoulder Innovations, Inc.
11.01
-3.24
-22.74%
VCEL
Vericel
38.99
-17.79
-31.33%
ATEC
Alphatec Holdings
20.24
10.54
108.66%
ICUI
ICU Medical
139.23
-39.04
-21.90%
LMAT
Lemaitre Vascular
87.79
-16.82
-16.08%
MMSI
Merit Medical Systems
88.33
-15.77
-15.15%

Shoulder Innovations, Inc. Corporate Events

Shoulder Innovations’ Clinical Study: A Game Changer for Shoulder Arthroplasty?
Oct 27, 2025

Shoulder Innovations, Inc. is conducting a study titled ‘Shoulder Innovations Clinical Data Registry’ to gather long-term clinical outcomes for anatomic and reverse total shoulder arthroplasty. This observational study aims to provide valuable insights into shoulder replacement procedures, which are crucial for improving patient care and advancing medical knowledge in this field.

Shoulder Innovations Reports Strong Revenue Growth Amid Losses
Sep 10, 2025

Shoulder Innovations, Inc. is a commercial-stage medical technology company focused on revolutionizing the shoulder surgical care market with advanced implant systems for shoulder arthroplasty. In its second quarter of 2025, the company reported a 33% increase in net revenue, reaching $11 million, alongside a gross margin of 76.2%. The company also completed an IPO, raising $75 million, and closed a $40 million convertible notes financing. Key achievements include a 34% increase in implant system sales and the expansion of its I-Series humeral stem product line. Despite these successes, the company reported a net loss of $19.2 million, attributed mainly to changes in the fair value of its preferred stock warrant liability. Looking forward, Shoulder Innovations anticipates continued revenue growth, projecting a 33% to 39% increase for the full year 2025, supported by its strategic financial positioning and growing customer base.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 04, 2025