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Carlsmed (CARL)

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Carlsmed, Inc. is a medical technology company focused on personalized spine surgery. The company develops and commercializes tools that combine artificial intelligence, imaging data, surgical planning, and patient-specific implants to support spinal fusion procedures. Its main platform, aprevo, is designed to help surgeons plan operations around an individual patient’s anatomy rather than relying only on standardized implant options.

Carlsmed’s technology is used in lumbar and cervical spine fusion, procedures performed to stabilize the spine and address conditions such as degenerative disc disease, deformity, and other structural problems. The company’s process typically involves preoperative planning based on patient imaging, followed by the design and manufacture of customized interbody implants intended to match the surgical plan. This approach aims to improve alignment, fit, and procedural consistency for spine surgeons.

The company sells primarily to hospitals and ambulatory surgical centers, placing it within the broader orthopedic and neurosurgical device market. As a commercial-stage business, Carlsmed is beyond early research and development, but its growth depends on surgeon adoption, clinical outcomes, reimbursement dynamics, manufacturing execution, and competition from larger spine device companies with established distribution networks.

Carlsmed operates as a single reportable business centered on the design, production, and marketing of its personalized spine platform. Its distinctive position lies in applying AI-enabled planning and custom implant manufacturing to a category where precision and patient-specific anatomy are especially important. The company reflects a broader trend in medtech toward software-guided procedures, data-driven surgical workflows, and implants tailored to individual patients.

10.80 USD
10.80 USD
−1.31 (-10.82%)
Pre-market

Last updated

Market Cap
$293,597,276
P/E
P/FCF
P/S
5.2
Enterprise Value
$235,945,276
Sector
Industrials
Industry
Surgical and Medical Instruments and Apparatus
Address
1800 ASTON AVENUE, CARLSBAD, CA, 92008
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Carlsmed’s aprevo® Personalized Interbody Implants Receive CMS New Technology Add-On Payment (NTAP) for Cervical Fusion Procedures

Aug 01, 2025, 09:05 AM
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Carlsmed’s aprevo® Powers First Personalized Cervical Spine Surgery

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Market Cap
$293,597,276
Enterprise Value
$235,945,276
P/E
P/B
3.18
P/S
5.2
EV / EBITDA
-6.97
EV / Sales
4.18
EPS
-1.2
Dividend Yield
0%
P/FCF
P/CF
Free Cash Flow
-$35,677,000
ROE
-35.34%
ROA
-27.45%
Debt / Equity
0.17
Current Ratio
11.87
Quick Ratio
11.66
Cash
7.52
Avg Volume
$151,301
Fundamentals Snapshot Price
10.8

Income Statement

Line Item 2026 Q1 2025 Q4 2025 Q3
Revenue 16.12M 15.17M 13.07M
Cost of revenue 3.69M 3.56M 3.15M
Gross profit 12.43M 11.61M 9.93M
Operating income -9.28M -9.32M -9.04M
EBITDA -9.18M -9.22M -8.95M
Net income -8.7M -8.61M -8.53M
Interest expense -311K -330K -380K
Other operating expenses 0 0 0
Total operating expenses 21.7M 20.93M 18.96M
Basic EPS -0.32 0.03 -0.4
Diluted EPS -0.32 0.03 -0.4

Balance Sheet

Line Item 2026 Q1 2025 Q4 2025 Q3
Total assets 118.77M 130.12M 134.86M
Total liabilities 26.52M 31.25M 28.2M
Total equity 92.25M 98.87M 106.66M
Cash & equivalents 73.02M 85.79M 115.37M
Current assets 115.31M 126.57M 131.37M
Current liabilities 9.72M 14.28M 10.93M
Accounts payable 2.95M 4.48M 2.67M
Receivables 12.27M 11.36M 11.3M
Inventories 2.06M 1.85M 1.34M
Long-term debt 15.36M 15.35M 15.44M

Cash Flow

Line Item 2026 Q1 2025 Q4 2025 Q3
Operating cash flow -13.01M -5.32M -8.46M
Investing cash flow -206K -24.23M -343K
Financing cash flow 436K -29K 90.7M
Change in cash -12.78M -29.58M 81.9M
Net income -8.7M -8.61M -8.53M
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edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
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edgar index 8-K — CARLSMED, INC. View Filing
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edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
edgar index 4 — CARLSMED, INC. View Filing
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form 4 Form 4 — YOUNG PHILIP M View Filing
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