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Nasdaq · Healthcare

Carlsmed, Inc. (CARL)

As-reported financials and SEC filings for Carlsmed, Inc. The latest annual period is FY2025. The latest reported quarter is Q2 FY2026. Financial statements come straight from the company’s EDGAR filings; valuation figures such as P/E and market cap use market data.

About Carlsmed, Inc.

Carlsmed, Inc. is a medical technology company that designs, manufactures, and markets the aprevo platform for spine fusion surgery. The aprevo platform includes surgical planning software with artificial intelligence and custom-built vertebral interbody implants tailored to each patient's anatomy. Carlsmed serves hospitals and ambulatory surgical centers, with FDA clearance for its lumbar and cervical spine fusion implants.

Snapshot

Revenue
$50.5M
Revenue growth (YoY)
85.9%
Net income
$-29.6M
Diluted EPS
$-2.12
Gross margin
75.3%
Operating margin
-60.5%
Net margin
-58.7%
FCF margin
-58.6%
ROE
-30.0%
net income / fiscal-year-end equity
P/E
n/m
not meaningful: a reported loss in the fiscal year or the trailing twelve months
Market cap
$378.1M
Long-term debt / equity
0.16×
non-current term debt only

Fundamentals are from SEC filings for FY2025, the latest annual period (ended December 31, 2025). P/E and market cap are derived from stored market prices, last retrieved on a rolling basis and typically within the past week.

What changed at Carlsmed

  • Revenue grew 85.9% to $51M in FY2025.
  • Most recent quarter Q2 FY2026: revenue $19M, up 56.7% from Q2 FY2025.
  • Free cash flow was negative $30M in FY2025.
  • Net loss widened to $30M in FY2025, from $24M in FY2024.

Computed from the as-reported figures in the statements below. A change we cannot state from filed figures is left out rather than estimated.

Peer comparison

Where Carlsmed’s fundamentals sit among the 88 medical device companies. Each figure is ranked only against peers that report it, from lowest (left) to highest (right).

Gross margin75.3%
78th percentile of 77
Operating margin-60.5%
5th percentile of 80
Net margin-58.7%
13th percentile of 81
FCF margin-58.6%
4th percentile of 75
Revenue growth (YoY)+85.9%
95th percentile of 87
ROE-30.0%
32nd percentile of 79
Long-term debt / equity0.16×
25th percentile of 54
Short interest14.28d
97th percentile of 88

Carlsmed’s FCF margin of -58.6% ranks in the 4th percentile of the 75 medical device companies reporting it. Carlsmed’s operating margin of -60.5% ranks in the 5th percentile of the 80 medical device companies reporting it. Carlsmed’s revenue growth of +85.9% ranks in the 95th percentile of the 87 medical device companies reporting it.

No reported insider purchases (code P) in the last 90 days; 2 insider sales totaling $14,149. For context, about 15% of companies in the universe saw any reported insider purchase (code P) in the same window. Browse insider activity →

Percentiles describe where a figure sits among industry peers reporting it (100th = highest). They are position within a peer group, not a rating, and not investment advice. Short interest ranking uses days to cover from FINRA Consolidated Short Interest data; FINRA is the owner and source of that data, included at no additional charge.

Institutional ownership

Held by 5 quant / multi-strat books among the superinvestors we track; no conviction manager currently reports a position.

Conviction investors
0
+5 quant / multi-strat
Initiated / added
5
4 new, 1 added
Reduced / exited
1
0 trimmed, 1 exited
Combined position
$5.9M
reported long value
InvestorAs ofPosition valueSharesChange
Millennium ManagementquantQ2 2026$3.1M295.9KNew
Citadel AdvisorsquantQ2 2026$1.1M101.7KAdded
AQR Capital ManagementquantQ2 2026$956,61092.2KNew
D. E. ShawquantQ2 2026$627,35760.4KNew
Two Sigma InvestmentsquantQ2 2026$186,92318.0KNew

No longer held by: Renaissance Technologies (as of Q2 2026)

From quarterly Form 13F filings, which can be up to 45 days delayed. Long US-listed positions only: excludes short positions, options, cash, bonds, and non-US holdings, so this is not a manager’s complete portfolio. Counts are of the investors we track, not all institutions. Not investment advice.

Recent insider activity

Non-derivative buys and sells (codes P/S) reported by officers, directors and 10% owners on SEC Form 4.

Buys (90d)
0
code P
Bought (90d)
—
code P value
Sells (90d)
2
$14K
Reported activity
Net selling
by $ value, 90d
Trade dateInsiderTypeSharesPriceValue
2026-10-05
filed 2026-10-06
Jeffrey BertoliniChief Operating OfficerSell747$14.39$11K
2026-09-30
filed 2026-10-01
Jeffrey BertoliniChief Operating OfficerSell243$13.99$3K

Reported non-derivative purchases and sales (codes P/S), which may be open-market or private. Excludes option exercises, grants, and shares withheld for taxes. Dates shown are the trade date; a Form 4 can be filed days to years later. A sale can be routine (e.g. a pre-set 10b5-1 plan), so read individual transactions in context. From SEC Form 4. Not investment advice.

Short interest

Total shares sold short as of each twice-monthly FINRA settlement. Rising short interest means more investors are positioned against the stock; days to cover estimates how many trading days of average volume that position represents.

Shares short
1.1M
settled 2026-09-30
Change vs prior
-2.3%
vs previous settlement
Days to cover
14.28
at avg daily volume
Avg daily volume
73.8K
FINRA reported
SettlementShares shortChangeDays to cover
2026-09-301.1M-2.3%14.28
2026-09-151.1M-2.0%12.98
2026-08-311.1M-16.4%6.00
2026-08-141.3M-4.4%8.51
2026-07-311.4M+1.4%15.19
2026-07-151.4M+3.4%6.58
2026-06-301.3M+0.1%8.47
2026-06-151.3M+0.3%13.89

Source: FINRA Consolidated Short Interest. FINRA is the owner and source of the FINRA-supplied data, which is included at no additional charge for your own personal or professional use; republishing or redistributing it is not permitted. Settlement dates are shown; FINRA publishes each settlement about nine business days later, so the latest figure can be two to four weeks old. Not presented as a percentage of float. No FINRA endorsement of this product is implied. Not investment advice.

Income statement (as reported)

 FY2025FY2024
Revenue$50.5M$27.2M
Gross profit
Operating income$-30.6M$-24.1M
Net income$-29.6M$-24.3M
Diluted EPS$-2.12$-6.11

Figures as reported to the SEC. Underlined values link to the filing they came from; dotted values are calculated by us from reported figures; “adj” means restated for a stock split (tap or hover a figure to see how it was calculated or what was filed). Full details: where the numbers come from.

Balance sheet (as reported)

 FY2025FY2024
Cash and equivalents$85.8M$40.1M
Current assets$126.7M$49.4M
Total assets$130.1M$51.8M
Current liabilities$14.3M$8.8M
Long-term debt$15.3M$15.4M
Total liabilities$31.3M$26.2M
Total equity$98.9M$-70.6M

Figures as reported to the SEC. Underlined values link to the filing they came from; dotted values are calculated by us from reported figures; “adj” means restated for a stock split (tap or hover a figure to see how it was calculated or what was filed). Full details: where the numbers come from.

Cash flow (as reported)

 FY2025FY2024
Operating cash flow$-29.0M$-25.5M
Capital expenditure$642,000$180,000
Free cash flow

Figures as reported to the SEC. Underlined values link to the filing they came from; dotted values are calculated by us from reported figures; “adj” means restated for a stock split (tap or hover a figure to see how it was calculated or what was filed). Full details: where the numbers come from.

Quarterly trend

QuarterRevenueRevenue YoYNet incomeDiluted EPS
Q2 FY2026$18.9M56.7%$-10.5M$-0.39
Q1 FY2026$16.1M58.2%$-8.7M$-0.32
Q4 FY202561.2%
Q3 FY2025$13.1M98.4%$-8.5M$-0.40
Q2 FY2025$12.1M98.7%$-6.8M—
Q1 FY2025$10.2M—$-5.7M—
Q4 FY2024——
Q3 FY2024$6.6M—$-7.8M—

Latest 8 quarters, from company XBRL filings on SEC EDGAR. A dotted underline marks a fourth-quarter figure we calculated from the full year and the first nine months. Revenue YoY is our calculation too: each quarter against the same quarter a year earlier.

Company facts

ExchangeNasdaq
SectorHealthcare
SIC industrySurgical & Medical Instruments & Apparatus
Latest annual periodFY2025 (ended December 31, 2025)
Latest reported quarterQ2 FY2026 (ended June 30, 2026)
Oldest indexed filing2019
SEC CIK1794546

Selected SEC filings

10-K2026-02-25
View on EDGAR →
10-Q2026-08-05
View on EDGAR →
10-Q2026-05-05
View on EDGAR →
10-Q2025-11-06
View on EDGAR →
10-Q2025-08-28
View on EDGAR →
8-K2026-09-30
View on EDGAR →
8-K2026-09-08
View on EDGAR →
8-K2026-08-05
View on EDGAR →

Largest medical device peers

All medical device stocks →All Healthcare companies →

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Data sourced from SEC EDGAR. Figures are as-reported and may be unaudited or restated; verify against the source filing before relying on them. Informational only. Not investment advice.