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Shoulder Innovations (SI) investor relations material

Shoulder Innovations Q3 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2025 earnings summary11 Nov, 2025

Executive summary

  • Q3 2025 revenue reached $11.8 million, up 58% year-over-year, driven by strong implant system sales and customer expansion.

  • Gross margin remained robust at 76.2%, reflecting operational efficiency and product mix.

  • Ended Q3 with $137 million in cash and marketable securities, supported by IPO and convertible notes financing.

  • Completed IPO in August 2025, raising $64.2 million in net proceeds and converting all preferred stock and convertible notes to common stock.

  • Continued expansion of high-volume surgeon base and product portfolio, including the launch of InSet 70 and FDA 510(k) clearance for new indications.

Financial highlights

  • Q3 2025 net revenue: $11.8 million, up from $7.5 million in Q3 2024.

  • Gross margin: 76.2% in Q3 2025 vs. 76.5% in Q3 2024.

  • SG&A expenses: $15.1 million, up from $8.5 million, driven by headcount, legal, and public company costs.

  • Net loss: $8.7 million in Q3 2025, compared to $4.1 million in Q3 2024; adjusted EBITDA loss: $7.5 million.

  • Cash, cash equivalents, and marketable securities totaled $137 million as of September 30, 2025.

Outlook and guidance

  • Full-year 2025 revenue guidance raised to $45–46 million, representing 42–45% annual growth, up from previous $42–44 million.

  • Guidance reflects confidence in commercial momentum, new product launches, and continued adoption among surgeons.

  • Sufficient liquidity projected for at least 12 months, with ongoing investments in R&D and commercial expansion.

  • Q4 guidance assumes continued volume and ASP strength, with new product launches expected to impact results more significantly in 2026.

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Jefferies London Healthcare Conference 202518 Nov, 2025
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