Shoulder Innovations (SI) Stock Fundamentals, Analysis & Risk Signals

Health score, price, valuation, risk signals, and key metrics at a glance.

Shoulder Innovations

NYSE

$20.32-0.07(<0.01%)Market closed

Market Cap

$369.10M

P/S

5.3x

P/B

3.0x

How this company scores

WeakMetricSide Score: 39/100

Strongest: Balance Sheet & Red Flags (19/25); weakest: Profitability (4/25).

Profitability4/25

Growth10/25

Balance Sheet & Red Flags19/25

Cash & Earnings Quality6/25

Strengths

Low leverageConsistent growthNet cash position

Valuation vs. 5-year range

Today's multiple positioned against its own trailing range — a visual premium/discount check.

P/S · 5.3x5y range 4.6x – 5.3x

P/B · 3.0x5y range 0.9x – 3.0x

Currently above its 4-quarter median.

Watch items

Data-driven signals worth keeping an eye on across the last 8 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

Free cash flow has been negative in 5 of the last 5 quarters — earnings are not translating to cash.

Price & Volume

Market Cap $369.10M

Metrics at a Glance

as of June 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue: $70.19M
Q. Revenue: $17.18M
TTM EBITDA: $-35.36M
TTM Op. Income: $-39.45M
Q. Op. Income: $-10.04M
TTM Net Income: $-39.70M
Q. Net Income: $-10.15M
EPS: $-0.49
Shares Out.: $20.74M

$70.19M in TTM revenue grew from zero YoY, reaching $17.18M last quarter. TTM EBITDA of $-35.36M and TTM operating income of $-39.45M show growth is flowing through to the bottom line. However, net income is negative at $39.70M — growth is not yet reaching the bottom line. Across the last 5 quarters, TTM revenue has risen for 2 consecutive quarters — an improving trend.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin: 78.3%
EBITDA Margin: -51.8%
Op. Margin: -58.4%
Net Margin: -59.1%

Op. margin of -58.4% is down 5.2% YoY — costs are rising relative to revenue. Net margin at -59.1% and gross margin of 78.3% show how much of each revenue dollar survives to profit. Across the last 5 quarters, operating margin has fallen for 2 consecutive quarters — a weakening trend.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio: N/A
P/S Ratio: 5.3x
P/B Ratio: 3.0x

P/S of 5.3x and P/B of 3.0x.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets: $152.01M
Cash: $24.46M
Long-Term Debt: $14.81M
Book Value: $124.33M
D/E Ratio: 0.1
Debt/EBITDA: N/A

With $152.01M in assets and $14.81M in long-term debt, D/E is 0.1and book value is $124.33M — a conservative capital structure with a cushion to weather downturns. Across the last 4 quarters, debt/equity has risen for 3 consecutive quarters — a weakening trend.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow: $-7.39M
TTM Free Cash Flow: $-47.08M
FCF Margin: -67.1%
FCF / Net Income: 1.2

TTM FCF of $-47.08M on $-7.39M in operating cash flow. The FCF / Net Income ratio of 1.2x means free cash flow covers net income — earnings are backed by cash. Over the past year, free cash flow is up 0% — an improving trend.