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Shoulder Innovations (SI) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Mar 10, 2026

Shoulder Innovations (SI) reported revenue of $14.4M for the fourth quarter 2025 (Q4 2025), +65% from a year earlier and +23% from the quarter before. Operating margin was -59.0%, net loss $7.8M (53.9% of revenue).

Revenue$14.4M
Year over year+65%
Quarter over quarter+23%
Operating margin-59.0%
Net earnings−$7.8M

Shoulder Innovations, Q4 2025: revenue $14.4M (+65% year over year), operating margin -59.0%, net loss $7.8M, operating cash flow −$8.8M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$14.4M+23%+65%
Operating profit−$8.5M——
Net earnings−$7.8M——
Operating cash flow−$8.8M——

What changed

Revenue was $14.4M in Q4 2025, up 65% year over year and up 23% from the previous quarter.

Gross margin was 76.7%, down 0.9 points from a year earlier. Operating costs exceeded revenue by $8.5M, an operating margin of -59.0%. Operating expenses grew 90% against revenue growth of 65%. The fastest-growing cost line was Research & development (+176%). The quarter ended with a net loss of $7.8M, narrower than the previous quarter's $8.7M loss.

Operating cash flow was −$8.8M. Non-cash charges added back $905K of depreciation and $381K of share-based compensation. Working capital and other items used $2.3M. Capital expenditures of $2.3M exceeded it, leaving free cash flow of −$11.1M.

Questions

What was Shoulder Innovations' revenue in the fourth quarter 2025?

Shoulder Innovations (SI) reported revenue of $14.4M for the fourth quarter 2025 (Q4 2025), +65% from a year earlier and +23% from the quarter before.

Was Shoulder Innovations profitable in the fourth quarter 2025?

Operating loss was $8.5M (-59.0% of revenue) and net loss $7.8M.

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Source: Shoulder Innovations 10-K on SEC EDGAR.