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Side-by-side financial comparison of SHOULDER INNOVATIONS, INC. (SI) and SANUWAVE Health, Inc. (SNWV). Click either name above to swap in a different company.

SANUWAVE Health, Inc. is the larger business by last-quarter revenue ($13.4M vs $11.8M, roughly 1.1× SHOULDER INNOVATIONS, INC.). SANUWAVE Health, Inc. runs the higher net margin — 57.4% vs -74.3%, a 131.7% gap on every dollar of revenue. SANUWAVE Health, Inc. produced more free cash flow last quarter ($3.2M vs $-11.4M).

Shoulder Innovations, Inc. is a medical technology firm specializing in design, development, and commercialization of innovative orthopedic devices for shoulder replacement surgery. Its products reduce surgical complications, improve patient outcomes, and are sold to orthopedic surgeons and healthcare providers across North America and Western Europe.

SANUWAVE Health, Inc. is a medical technology company specializing in non-invasive regenerative care solutions. It develops and commercializes shock wave therapy systems for treating chronic wounds, diabetic foot ulcers, and orthopedic conditions, serving healthcare providers and patients across North America, Europe, and key Asia-Pacific markets.

SI vs SNWV — Head-to-Head

Bigger by revenue
SNWV
SNWV
1.1× larger
SNWV
$13.4M
$11.8M
SI
Higher net margin
SNWV
SNWV
131.7% more per $
SNWV
57.4%
-74.3%
SI
More free cash flow
SNWV
SNWV
$14.6M more FCF
SNWV
$3.2M
$-11.4M
SI

Income Statement — Q3 FY2025 vs Q4 FY2025

Metric
SI
SI
SNWV
SNWV
Revenue
$11.8M
$13.4M
Net Profit
$-8.7M
$7.7M
Gross Margin
76.2%
74.7%
Operating Margin
-65.0%
15.0%
Net Margin
-74.3%
57.4%
Revenue YoY
30.3%
Net Profit YoY
157.8%
EPS (diluted)
$-0.64
$0.78

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
SI
SI
SNWV
SNWV
Q4 25
$13.4M
Q3 25
$11.8M
$11.4M
Q2 25
$11.0M
$10.1M
Q1 25
$9.3M
Q4 24
$10.3M
Q3 24
$9.3M
Q2 24
$7.1M
Q1 24
$5.7M
Net Profit
SI
SI
SNWV
SNWV
Q4 25
$7.7M
Q3 25
$-8.7M
$9.7M
Q2 25
$-19.2M
$551.0K
Q1 25
$-6.1M
Q4 24
$-13.3M
Q3 24
$-21.2M
Q2 24
$6.2M
Q1 24
$-4.8M
Gross Margin
SI
SI
SNWV
SNWV
Q4 25
74.7%
Q3 25
76.2%
76.6%
Q2 25
76.2%
77.3%
Q1 25
79.4%
Q4 24
78.2%
Q3 24
76.1%
Q2 24
74.0%
Q1 24
73.9%
Operating Margin
SI
SI
SNWV
SNWV
Q4 25
15.0%
Q3 25
-65.0%
7.9%
Q2 25
-53.2%
14.2%
Q1 25
6.5%
Q4 24
19.6%
Q3 24
16.0%
Q2 24
23.3%
Q1 24
-22.8%
Net Margin
SI
SI
SNWV
SNWV
Q4 25
57.4%
Q3 25
-74.3%
84.8%
Q2 25
-174.3%
5.4%
Q1 25
-65.8%
Q4 24
-129.5%
Q3 24
-227.8%
Q2 24
87.4%
Q1 24
-84.4%
EPS (diluted)
SI
SI
SNWV
SNWV
Q4 25
$0.78
Q3 25
$-0.64
$0.39
Q2 25
$-165.53
$-0.04
Q1 25
$-0.72
Q4 24
$-0.76
Q3 24
$-6.65
Q2 24
$0.00
Q1 24
$0.00

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
SI
SI
SNWV
SNWV
Cash + ST InvestmentsLiquidity on hand
$54.9M
$12.0M
Total DebtLower is stronger
$21.9M
Stockholders' EquityBook value
$147.8M
$1.6M
Total Assets
$177.8M
$37.3M
Debt / EquityLower = less leverage
13.52×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SI
SI
SNWV
SNWV
Q4 25
$12.0M
Q3 25
$54.9M
$9.6M
Q2 25
$27.1M
$8.5M
Q1 25
$8.5M
Q4 24
$10.2M
Q3 24
$3.3M
Q2 24
$2.5M
Q1 24
$2.9M
Total Debt
SI
SI
SNWV
SNWV
Q4 25
$21.9M
Q3 25
$23.3M
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
Stockholders' Equity
SI
SI
SNWV
SNWV
Q4 25
$1.6M
Q3 25
$147.8M
$-7.6M
Q2 25
$-78.2M
$-18.8M
Q1 25
$-20.8M
Q4 24
$-15.8M
Q3 24
$-60.3M
Q2 24
$-39.6M
Q1 24
$-47.6M
Total Assets
SI
SI
SNWV
SNWV
Q4 25
$37.3M
Q3 25
$177.8M
$35.6M
Q2 25
$77.8M
$33.0M
Q1 25
$30.9M
Q4 24
$30.1M
Q3 24
$21.8M
Q2 24
$21.0M
Q1 24
$23.3M
Debt / Equity
SI
SI
SNWV
SNWV
Q4 25
13.52×
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
SI
SI
SNWV
SNWV
Operating Cash FlowLast quarter
$-8.6M
$3.3M
Free Cash FlowOCF − Capex
$-11.4M
$3.2M
FCF MarginFCF / Revenue
-96.7%
24.1%
Capex IntensityCapex / Revenue
23.9%
0.7%
Cash ConversionOCF / Net Profit
0.43×
TTM Free Cash FlowTrailing 4 quarters
$1.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
SI
SI
SNWV
SNWV
Q4 25
$3.3M
Q3 25
$-8.6M
$1.1M
Q2 25
$-11.3M
$993.0K
Q1 25
$-1.5M
Q4 24
$741.0K
Q3 24
$1.3M
Q2 24
$-668.0K
Q1 24
$1.1M
Free Cash Flow
SI
SI
SNWV
SNWV
Q4 25
$3.2M
Q3 25
$-11.4M
$556.0K
Q2 25
$-13.6M
$-166.0K
Q1 25
$-1.7M
Q4 24
$505.0K
Q3 24
$1.2M
Q2 24
$-760.0K
Q1 24
$986.0K
FCF Margin
SI
SI
SNWV
SNWV
Q4 25
24.1%
Q3 25
-96.7%
4.9%
Q2 25
-123.4%
-1.6%
Q1 25
-18.1%
Q4 24
4.9%
Q3 24
13.3%
Q2 24
-10.7%
Q1 24
17.3%
Capex Intensity
SI
SI
SNWV
SNWV
Q4 25
0.7%
Q3 25
23.9%
4.6%
Q2 25
21.0%
11.4%
Q1 25
1.7%
Q4 24
2.3%
Q3 24
0.5%
Q2 24
1.3%
Q1 24
2.0%
Cash Conversion
SI
SI
SNWV
SNWV
Q4 25
0.43×
Q3 25
0.11×
Q2 25
1.80×
Q1 25
Q4 24
Q3 24
Q2 24
-0.11×
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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