Shoulder Innovations

SI on NYSE. Shoulder Innovations sells shoulder implant systems to surgeons and hospitals. Market value $408m.

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Price checks use the past 12 months to June 2026. Quality checks use five annual reports, the latest for the year to December 2025.

Should I look at this?

Not a fit for our list right now

See Health care stocks that passed both tests

This is not advice. Check the numbers below.

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Cash yield
past 12 months to June 2026
-11.8%low

For every $100 of what the whole company costs, it produced $-11.81 of spare cash in the past 12 months. A savings account pays about $4.

Price to profit
past 12 months to June 2026
n/a

The filings do not give us enough to work this out.

Return on capital
five annual reports to December 2025
n/a

The filings do not give us enough to work this out.

Quality score: not known. Price score: 0 of 100. Our list needs 70 on quality and 60 on price.

$19.14 a share, 75% above its 1-year low

Over the past year the price has ranged from $10.92 to $24.59.

Pays no dividend

Prices from Tuesday’s close (6 October).

Five years of cash, in billions

-0.0
-0.0
202512 monthsto Jun '26
Revenue
$47m
Operating margin
-55.6%
Debt to equity
0.11
Shares outstanding
0.02bn

Health checks

  • Free cash flow positive0 of 1 years
  • Accounting checksSkipped: company is not yet profitable
  • Debt0.11× equity
  • Revenue growth, five yearsUnknown
  • Buying back its own sharesRoughly flat

The quarter to June 2026

How the business did, compared with the same quarter a year earlier.

  • Sales: $17 million last quarter, up 56% on a year ago.
  • A loss of $10 million, compared with a loss of $19 million a year ago.
  • 17781% more shares than a year ago. Each share owns a bit less of the company.
  • It has $10 million more cash than debt, down from $12 million a year ago.
Sales by quarter
Sales by quarter
Quarter toAmount
June 2025$11m
September 2025$12m
December 2025$14m
March 2026$17m
June 2026$17m
Profit by quarter
Profit by quarter
Quarter toAmount
June 2025-$19m
September 2025-$9m
December 2025-$8m
March 2026-$8m
June 2026-$10m

From the company's quarterly reports to the SEC.

Dates

Next results (estimated)
n/a
Last annual report (10-K)
10 March 2026
Next quarterly (estimated, 10-Q)
5 November 2026

Who owns it

None of the long-term investors we follow own it. 72 funds in all.

Dec '25
Jun '26
Largest holders overall

From 13F filings for the quarter ended 30 June 2026.

Big holders and activists

6 investors own more than 5%.

  • FMR LLC
    Passive investor
    at least 17.7%−1.3 pts
    (filed with 1 related holder)
    Since 30 June 2026
  • Casey M. Tansey
    Passive investor
    at least 13.3%
    (filed with 2 related holders)
    Since 30 September 2025
  • Gilde Healthcare Holding B.V.
    Passive investor
    at least 10.7%−1.1 pts
    (filed with 4 related holders)
    Since 5 August 2026
  • LSV Associates II, LLC
    Passive investor
    at least 9.3%
    (filed with 5 related holders)
    Since 30 September 2025
  • Arboretum Ventures VI, L.P.
    Passive investor
    at least 5.8%
    (filed with 4 related holders)
    Since 1 August 2025
  • Ball Robert Joseph
    Passive investor
    at least 3.6%−3.1 pts
    (filed with 4 related holders)
    Since 31 March 2026

From Schedule 13D and 13G filings: anyone owning more than 5% must file one.

What insiders did

In the last 12 months, 3 insiders bought $214,878 of shares on the open market. 2 sold $1m, $839,066 of it under preset trading plans.

  • Ball Robert Joseph
    CEO & Executive Chairman, Director
    Sold
    Date
    14 September 2026
    Shares
    10,175
    Price
    $18.45
    Value
    $187,706
  • Ahearn Matthew Fraser
    Chief Operating Officer, Director
    Sold
    under a preset trading plan
    Date
    18 August 2026
    Shares
    14,186
    Price
    $20.99
    Value
    $297,704
  • Ahearn Matthew Fraser
    Chief Operating Officer, Director
    Sold
    under a preset trading plan
    Date
    17 August 2026
    Shares
    8,314
    Price
    $20.10
    Value
    $167,101
  • Ahearn Matthew Fraser
    Chief Operating Officer, Director
    Sold
    under a preset trading plan
    Date
    15 June 2026
    Shares
    4,144
    Price
    $18.84
    Value
    $78,071
  • Ahearn Matthew Fraser
    Chief Operating Officer, Director
    Sold
    under a preset trading plan
    Date
    12 June 2026
    Shares
    15,856
    Price
    $18.68
    Value
    $296,190
  • Ball Robert Joseph
    CEO & Executive Chairman, Director
    Bought
    Date
    13 March 2026
    Shares
    2,200
    Price
    $15.18
    Value
    $33,396
  • Buchholz Richard
    Director
    Bought
    Date
    13 March 2026
    Shares
    1,000
    Price
    $14.84
    Value
    $14,840
  • Points Jeffrey S.
    Chief Financial Officer
    Bought
    Date
    13 March 2026
    Shares
    2,000
    Price
    $15.00
    Value
    $30,000
  • Points Jeffrey S.
    Chief Financial Officer
    Bought
    Date
    12 December 2025
    Shares
    1,005
    Price
    $14.98
    Value
    $15,055
  • Ball Robert Joseph
    CEO & Executive Chairman, Director
    Bought
    Date
    12 December 2025
    Shares
    3,900
    Price
    $14.89
    Value
    $58,071

From Form 4 filings: insiders must report trades in their own company's shares within two days.

What could go wrong

Cheap for a reason is the question the numbers cannot answer.

Whether the price already reflects the risks is what the deep dive is for.

The deep dive

Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.

  • What the business is worth, as a range, and the margin of safety at today’s price
  • Prices to start buying, buy, and buy hard
  • The three things that would make this a mistake
  • Every number footnoted to the filing it came from
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Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.