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Shoulder Innovations Reports Fourth Quarter and Full Year 2025 Financial Results

Key Takeaway: Shoulder Innovations, Inc. reported significant financial growth for Q4 and the full year 2025, with net revenues reaching $14.4 million in Q4 and $47.3 million for the year, marking increases of 65% and 50% respectively. The company also initiated guidance for 2026, projecting revenues between $62 million and $65 million. Key developments included the release of new implant systems and a strategic partnership to enhance their product offerings.
Price reaction · baseline $13.5 (2026-03-10T15:45:00.000Z) · hit during market hours · clean, no other SI news in the window
day 0 close · peak
-3.3%

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POSITIVE FACTORS

  • Net revenue increased by 50% year-over-year.
  • Gross margin remained high at 76.7% for Q4.
  • Successful launch of new implant systems.
  • Strong guidance for 2026 with projected revenue growth.

Full Press Release Details

GRAND RAPIDS, Mich., March 10, 2026 /PRNewswire/ — Shoulder Innovations, Inc. (Shoulder Innovations, or the company) (NYSE: SI), a commercial-stage medical technology company exclusively focused on transforming the shoulder surgical care market, today reported financial results for the fourth quarter and full year ended December 31, 2025.

Financial Highlights

• Generated net revenue of $14.4 million in the fourth quarter, a 65% increase over the prior year quarter
• Generated net revenue of $47.3 million for the full year, a 50% increase over the prior year
• Achieved gross margin of 76.7% for the fourth quarter and 76.5% for the full year
• Initiating full year 2026 net revenue guidance of $62 million to $65 million, representing growth of approximately 31% to 37% over full year 2025 net revenue

Full Year and Recent Business Highlights

• Sold 1,976 total implant systems in the fourth quarter, a 62% increase over the prior year quarter
• Ended 2025 with 134 core surgeons and contender surgeons, a 61% increase over the prior year
• Commenced limited user release of the InSet™ I-135RFX Humeral Stem for primary, revision, and certain fracture indications of the humeral head
• Commenced limited user release of the N-22 Humeral Head for patients with metal hypersensitivity
• Appointed Drew Hykes, former CEO of Inari Medical, to Board of Directors
• Announced a strategic partnership with Interventional Systems to introduce a robotic platform for shoulder arthroplasty
“2025 was a transformational year for Shoulder Innovations. We continued to add new surgeon customers at an accelerated pace, drove rapid commercial adoption of our advanced implant systems, and solidified our position as an innovation leader in the shoulder space, all while beginning our journey as a public company,” said Rob Ball, CEO of Shoulder Innovations. “These efforts culminated in record full-year net revenue of $47.3 million, representing an exceptional 50% increase year-over-year, supported by accelerating growth in the second half of the year.”
Mr. Ball continued, “Looking into 2026, our momentum remains strong. Our key strategic priorities are focused on delivering sustained growth through world class execution and innovation. With a growing product portfolio, a comprehensive enabling technology strategy, our expanding commercial talent, and a strong balance sheet, we believe we are well positioned to further extend and strengthen our leadership position in shoulder surgical care in the years ahead.”

Frequently Asked Questions

What was Shoulder Innovations' revenue for Q4 2025?

Shoulder Innovations generated $14.4 million in net revenue for Q4 2025.

How much did Shoulder Innovations grow in 2025?

The company reported a 50% increase in net revenue for the full year 2025.

What is the revenue guidance for 2026?

Shoulder Innovations projects net revenue between $62 million and $65 million for 2026.

What new products were released by Shoulder Innovations?

The company launched the InSet™ I-135RFX Humeral Stem and the N-22 Humeral Head.

Who was appointed to the Board of Directors?

Drew Hykes, former CEO of Inari Medical, was appointed to the Board.

Last updated: Mar 10, 2026