Comparable stake leader
FMR LLC
Top holders, 13D/G large-stake signals, insider positions, and transaction flow tied to CIK 0001699350.
Comparable stake leader
FMR LLC
Disclosed value leader
FMR LLC
Comparable rows
50/50
Latest evidence
26 Aug 2026
Ownership snapshot
Grouped by holder across the latest SEC ownership disclosures. Start with comparable ownership when available, then verify the linked 13F, 13D/G, or 3/4/5 evidence.
Quick read
50 of 50 rows have a safely comparable ownership percentage. Use this as a filing-backed starting point, then open the detailed table for source links, reporting role, position value, share count, and filing date.
Ownership % is shown only when SEC disclosures are safely comparable across share classes.
| Holder | Evidence | Ownership % | Position | 12M Net Δ | As of |
|---|---|---|---|---|---|
| FMR LLC |
13F
13D/G
Company
|
18%
from 13D/G
|
$74,507,909
3,673,960 shares
|
— | 30 Jun 2026 |
| Presidio Management Group XII, L.L.C. |
13D/G
Casey M. Tansey
|
13%
|
$34,396,877
2,740,787 shares
|
$0 | 30 Sep 2025 |
| Gilde Healthcare Holding B.V. |
3/4/5
13D/G
10%+ Owner
|
11%
from 13D/G
|
$49,401,656
2,185,914 shares
|
-$4,439,970 | 26 Aug 2026 |
| LSV Associates II, LLC |
13D/G
3/4/5
Former 10% Owner
|
9.3%
|
$23,658,457
1,885,136 shares
|
$0 | 30 Sep 2025 |
| Arboretum Ventures VI, L.P. |
13D/G
|
5.8%
|
—
1,163,891 shares
|
$0 | 01 Aug 2025 |
| cultivate(MD) Holdings, LLC |
13D/G
Ball Robert Joseph
|
3.6%
|
$11,156,265
767,809 shares
|
-$8,653,850 | 31 Mar 2026 |
| Paul Buckman |
3/4/5
Director
|
0.31%
|
$926,287
63,750 shares
|
— | 26 Jun 2026 |
| Jonathan E. Osborne |
3/4/5
Chief Commercial Officer
|
0.29%
|
$1,223,999
60,355 shares
|
— | 06 Aug 2026 |
Rows are grouped by holder and ranked first by SEC-reported ownership % when it is safely comparable, then by disclosed holdings value. — indicates unavailable or non-comparable values; "mixed-class rows" means the latest filing spans non-comparable classes.
Forms 3/4/5 flow
Net insider flow leans to selling over the last 12 months. Net value: -$4,916,331.
| Window (months) | Buy shares | Sell shares | Buy value | Sell value | Net value |
|---|---|---|---|---|---|
| 0-3 | 0 | 237,068 | $0 | $5,279,031 | -$5,279,031 |
| 3-6 | 5,200 | 0 | $78,232 | $0 | +$78,232 |
| 6-9 | 9,200 | 0 | $136,641 | $0 | +$136,641 |
| 9-12 | 9,600 | 0 | $147,827 | $0 | +$147,827 |
Reporting owners
Showing 1-14 of 14 reporting-owner rows connected to SHOULDER INNOVATIONS, INC.. Open a relationship link for the CIK-to-CIK filing trail.
| Name | Relationship | Holdings Value | Past Year Net Change | Change % | Valuation | Report Date |
|---|---|---|---|---|---|---|
| Gilde Healthcare Holding B.V. | 10%+ Owner | $49,401,656 | -$4,439,970 | -8.2% | Filing P/S | 26 Aug 2026 |
| Casey M. Tansey | Director, 10%+ Owner | $39,896,922 | Mixed | 26 Jun 2026 | ||
| Matthew Fraser Ahearn | Chief Operating Officer, Director | $5,220,946 | -$839,060 | -14% | Filing P/S | 14 Aug 2026 |
| Robert Joseph Ball | CEO & Executive Chairman, Director | $4,359,561 | +$263,156 | +6.4% | Mixed | 30 Apr 2026 |
| David Lawrence Blue | Officer | $1,694,763 | Mixed | 30 Jan 2026 | ||
| Jonathan E. Osborne | Chief Commercial Officer | $1,223,999 | Median | 06 Aug 2026 | ||
| Jeffrey S. Points | Chief Financial Officer | $1,062,448 | +$84,704 | +8.7% | Mixed | 13 Mar 2026 |
| Paul Buckman | Director | $926,287 | Mixed | 26 Jun 2026 | ||
| Kevin K. Sidow | Director | $364,063 | Mixed | 26 Jun 2026 | ||
| Richard Buchholz | Director | $271,885 | +$14,840 | +5.8% | Mixed | 26 Jun 2026 |
| Andrew Hykes | Director | $98,353 | Mixed | 26 Jun 2026 | ||
| Geoffrey B. Pardo | Director, 10%+ Owner | Mixed | 01 Aug 2025 | |||
| Michael A. Carusi | Director | Mixed | 01 Aug 2025 | |||
| LSV Associates II, LLC | Former 10% Owner | Mixed | 01 Aug 2025 |
Showing up to 300 recent insider transactions from the last 12 months.
| Insider | Symbol | Class | Transaction | % | SEC-reported value | SEC-reported price | Shares | Shares owned | Date | Ownership |
|---|---|---|---|---|---|---|---|---|---|---|
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.05% | $27,030 | $22.60 | -1,196 | 2,185,914 | 26 Aug 2026 | See footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.03% | $15,404 | $22.62 | -681 | 2,187,110 | 24 Aug 2026 | See footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.93% | $463,867 | $22.61 | -20,516 | 2,187,791 | 21 Aug 2026 | See footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.18% | $88,140 | $22.60 | -3,900 | 2,208,307 | 20 Aug 2026 | See footnote |
| Matthew Fraser Ahearn | SI | Common Stock | Sale | -5.49% | $297,704 | $20.99 | -14,186 | 244,176 | 18 Aug 2026 | Direct |
| Matthew Fraser Ahearn | SI | Common Stock | Sale | -3.12% | $167,101 | $20.10 | -8,314 | 258,362 | 17 Aug 2026 | Direct |
| Matthew Fraser Ahearn | SI | Common Stock | Gift | -0.93% | -2,500 | 266,676 | 14 Aug 2026 | Direct | ||
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.09% | $47,347 | $22.60 | -2,095 | 2,212,207 | 06 Aug 2026 | See footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.33% | $166,132 | $22.64 | -7,338 | 2,214,302 | 05 Aug 2026 | See footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -4.3% | $2,272,719 | $22.77 | -99,812 | 2,221,640 | 04 Aug 2026 | See footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.46% | $244,155 | $22.71 | -10,751 | 2,321,452 | 03 Aug 2026 | See footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -0.85% | $455,373 | $22.73 | -20,034 | 2,332,203 | 31 Jul 2026 | See Footnote |
| Gilde Healthcare Holding B.V. | SI | Common Stock | Sale | -1.19% | $659,803 | $23.36 | -28,245 | 2,352,237 | 30 Jul 2026 | See Footnote |
| Casey M. Tansey | SI | Common Stock | Award | 10.6% | 5,046 | 52,712 | 26 Jun 2026 | Direct | ||
| Kevin K. Sidow | SI | Common Stock | Award | 25.2% | 5,046 | 25,056 | 26 Jun 2026 | Direct | ||
| Andrew Hykes | SI | Common Stock | Award | 292.9% | 5,046 | 6,769 | 26 Jun 2026 | Direct | ||
| Paul Buckman | SI | Common Stock | Award | 8.6% | 5,046 | 63,750 | 26 Jun 2026 | Direct | ||
| Richard Buchholz | SI | Common Stock | Award | 36.9% | 5,046 | 18,712 | 26 Jun 2026 | Direct | ||
| Matthew Fraser Ahearn | SI | Common Stock | Sale | -1.52% | $78,070 | $18.84 | -4,144 | 269,176 | 15 Jun 2026 | Direct |
| Matthew Fraser Ahearn | SI | Common Stock | Sale | -5.48% | $296,185 | $18.68 | -15,856 | 273,320 | 12 Jun 2026 | Direct |
| Robert Joseph Ball | SI | Common Stock | Options Exercise | 3.45% | 10,000 | 300,018 | 30 Apr 2026 | Direct | ||
| Robert Joseph Ball | SI | Stock Option | Options Exercise | -3.13% | -10,000 | 309,756 | 30 Apr 2026 | Direct | ||
| Matthew Fraser Ahearn | SI | Common Stock | Options Exercise | 8.17% | 21,664 | 286,765 | 20 Apr 2026 | Direct | ||
| Matthew Fraser Ahearn | SI | Stock Option | Options Exercise | -71% | -21,664 | 8,864 | 20 Apr 2026 | Direct | ||
| Jeffrey S. Points | SI | Common Stock | Purchase | 2.91% | $30,000 | $15.00 | 2,000 | 70,785 | 13 Mar 2026 | Direct |
| Jeffrey S. Points | SI | Common Stock | Options Exercise | 23.9% | 13,264 | 68,785 | 13 Mar 2026 | Direct | ||
| Jeffrey S. Points | SI | Stock Option | Options Exercise | -24% | -13,264 | 42,004 | 13 Mar 2026 | Direct | ||
| Paul Buckman | SI | Common Stock | Tax liability | -10.7% | -7,006 | 58,704 | 13 Mar 2026 | Direct | ||
| Paul Buckman | SI | Common Stock | Options Exercise | 226.8% | 45,606 | 65,710 | 13 Mar 2026 | Direct | ||
| Paul Buckman | SI | Stock Option | Options Exercise | -100% | -45,606 | 0 | 13 Mar 2026 | Direct | ||
| Richard Buchholz | SI | Common Stock | Purchase | 7.9% | $14,840 | $14.84 | 1,000 | 13,666 | 13 Mar 2026 | Direct |
| Robert Joseph Ball | SI | Common Stock | Purchase | 0.8% | $33,392 | $15.18 | 2,200 | 278,866 | 13 Mar 2026 | Direct |
| Robert Joseph Ball | SI | Common Stock | Options Exercise | 4.56% | 12,062 | 276,666 | 06 Feb 2026 | Direct | ||
| Robert Joseph Ball | SI | Stock Option | Options Exercise | -6.24% | -12,062 | 181,376 | 06 Feb 2026 | Direct | ||
| David Lawrence Blue | SI | Stock Option | Award | 88,450 | 88,450 | 30 Jan 2026 | Direct | |||
| Robert Joseph Ball | SI | Stock Option | Award | 265,351 | 265,351 | 30 Jan 2026 | Direct | |||
| Matthew Fraser Ahearn | SI | Stock Option | Award | 88,450 | 88,450 | 30 Jan 2026 | Direct | |||
| Jeffrey S. Points | SI | Stock Option | Award | 126,357 | 126,357 | 30 Jan 2026 | Direct | |||
| Jeffrey S. Points | SI | Common Stock | Award | 1.98% | 1,076 | 55,521 | 31 Dec 2025 | Direct | ||
| David Lawrence Blue | SI | Common Stock | Award | 0.75% | 1,041 | 139,372 | 31 Dec 2025 | Direct | ||
| Robert Joseph Ball | SI | Common Stock | Award | 1.4% | 1,661 | 120,118 | 31 Dec 2025 | Direct | ||
| Matthew Fraser Ahearn | SI | Common Stock | Award | 0.22% | 477 | 215,856 | 31 Dec 2025 | Direct | ||
| Robert Joseph Ball | SI | Common Stock | Purchase | 3.4% | $58,075 | $14.89 | 3,900 | 118,457 | 12 Dec 2025 | Direct |
| Jeffrey S. Points | SI | Common Stock | Purchase | 1.88% | $15,055 | $14.98 | 1,005 | 54,445 | 12 Dec 2025 | Direct |
| Robert Joseph Ball | SI | Common Stock | Purchase | 2.97% | $48,934 | $14.83 | 3,300 | 114,557 | 11 Dec 2025 | Direct |
| Jeffrey S. Points | SI | Common Stock | Purchase | 1.9% | $14,577 | $14.65 | 995 | 53,440 | 11 Dec 2025 | Direct |
| Jeffrey S. Points | SI | Common Stock | Purchase | 3.15% | $25,072 | $15.67 | 1,600 | 52,445 | 12 Sep 2025 | Direct |
| David Lawrence Blue | SI | Common Stock | Options Exercise | 214.8% | 94,394 | 138,331 | 12 Sep 2025 | Direct | ||
| David Lawrence Blue | SI | Stock Option | Options Exercise | -100% | -94,394 | 0 | 12 Sep 2025 | Direct | ||
| Robert Joseph Ball | SI | Common Stock | Purchase | 5.7% | $92,945 | $15.49 | 6,000 | 111,259 | 12 Sep 2025 | Direct |