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CARLSMED INC Financials

CARL
Source SEC Filings (10-K/10-Q) Updated Dec 31, 2025 Currency USD FYE December

This page shows CARLSMED INC (CARL) financial statements, including the income statement, balance sheet, cash flow statement, and key financial ratios. View 2 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Rhea AI CARL FY2025

Carlsmed is scaling revenue faster than losses, but the model still depends on external capital to fund growth.

Revenue climbed to $50.5M while operating margin improved to -60.5%, a sign that added volume is covering more of the company’s fixed commercial and development spend. Yet operating cash burn remained near -$29.0M, so the business is becoming more efficient before it is becoming self-funding.

A gross margin of 75.3% with only $642K of capex suggests the core offering is not especially plant-heavy; the drag is above gross profit, where R&D and go-to-market spending absorb most of the contribution. That matters because better scale can narrow losses without requiring a matching surge in physical investment.

The FY2025 balance sheet was reset by financing: cash reached $85.8M and equity ended at $98.9M after being negative a year earlier. That leaves liquidity looking strong on the surface, but it reflects fresh capital rather than profits or cash generated from customers.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Profitability Growth Leverage Liquidity Cash Flow Returns 50 / 100
Financial Profile 50/100

Based on FY2025 annual data, averaged across the last 3 years for performance metrics (most-recent year weighted highest). How this score is calculated →

Health score ≠ stock price. This rates the quality of CARLSMED INC's business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.

Profitability
0

CARLSMED INC has an operating margin of -60.5%, meaning the company retains $-61 of operating profit per $100 of revenue. This below-average margin results in a low score of 0/100, suggesting thin profitability after operating expenses. This is up from -88.8% the prior year.

Growth
100

CARLSMED INC's revenue surged 85.9% year-over-year to $50.5M, reflecting rapid business expansion. This strong growth earns a score of 100/100.

Leverage
99

CARLSMED INC carries a low D/E ratio of 0.16, meaning only $0.16 of long-term debt for every $1 of shareholders' equity. This conservative leverage earns a score of 99/100, indicating a strong balance sheet with room for future borrowing.

Liquidity
100

With a current ratio of 8.87, CARLSMED INC holds $8.87 in current assets for every $1 of short-term obligations. This comfortable liquidity earns a score of 100/100.

Cash Flow
0

While CARLSMED INC generated -$29.0M in operating cash flow, capex of $642K consumed most of it, leaving -$29.6M in free cash flow. This results in a low score of 0/100, reflecting heavy capital investment rather than weak cash generation.

Returns
0

CARLSMED INC generates a -30.0% ROE, indicating limited profit relative to shareholders' investment. This results in a returns score of 0/100.

Piotroski F-Score Neutral
5/9

CARLSMED INC passes 5 of 9 financial strength tests. 2 of 4 profitability signals pass, 2 of 3 leverage/liquidity signals pass, 1 of 2 efficiency signals pass.

Earnings Quality Low Quality
0.98x

For every $1 of reported earnings, CARLSMED INC generates $0.98 in operating cash flow (-$29.0M OCF vs -$29.6M net income). This low ratio suggests earnings are primarily driven by accounting accruals rather than cash generation, which may not be sustainable.

Interest Coverage At Risk
-21.4x

CARLSMED INC earns $-21.4 in operating income for every $1 of interest expense (-$30.6M vs $1.4M). This narrow margin raises concern about the company's ability to service its debt if operating income declines.

Key Financial Metrics

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Earnings & Revenue

Revenue
$50.5M
YoY+85.9%

CARLSMED INC generated $50.5M in revenue in fiscal year 2025. This represents an increase of 85.9% from the prior year.

EBITDA
-$30.3M
YoY-26.3%

CARLSMED INC's EBITDA was -$30.3M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents a decrease of 26.3% from the prior year.

Net Income
-$29.6M
YoY-22.2%

CARLSMED INC reported -$29.6M in net income in fiscal year 2025. This represents a decrease of 22.2% from the prior year.

EPS (Diluted)
$-2.12

CARLSMED INC earned $-2.12 per diluted share (EPS) in fiscal year 2025. This represents an increase of 65.3% from the prior year.

Cash & Balance Sheet

Free Cash Flow
-$29.6M
YoY-15.5%

CARLSMED INC generated -$29.6M in free cash flow in fiscal year 2025, representing cash available after capex. This represents a decrease of 15.5% from the prior year.

Cash & Debt
$85.8M
YoY+113.8%

CARLSMED INC held $85.8M in cash against $15.3M in long-term debt as of fiscal year 2025.

Dividends Per Share
N/A
Shares Outstanding
27M

CARLSMED INC had 27M shares outstanding in fiscal year 2025. This represents an increase of 542.7% from the prior year.

Margins & Returns

Gross Margin
75.3%
YoY+1.5pp

CARLSMED INC's gross margin was 75.3% in fiscal year 2025, indicating the percentage of revenue retained after direct costs. This is up 1.5 percentage points from the prior year.

Operating Margin
-60.5%
YoY+28.3pp

CARLSMED INC's operating margin was -60.5% in fiscal year 2025, reflecting core business profitability. This is up 28.3 percentage points from the prior year.

Net Margin
-58.7%
YoY+30.6pp

CARLSMED INC's net profit margin was -58.7% in fiscal year 2025, showing the share of revenue converted to profit. This is up 30.6 percentage points from the prior year.

Return on Equity
-30.0%

CARLSMED INC's ROE was -30.0% in fiscal year 2025, measuring profit generated per dollar of shareholder equity.

Capital Allocation

R&D Spending
$17.0M
YoY+19.0%

CARLSMED INC invested $17.0M in research and development in fiscal year 2025. This represents an increase of 19.0% from the prior year.

Share Buybacks
N/A
Capital Expenditures
$642K
YoY+256.7%

CARLSMED INC invested $642K in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents an increase of 256.7% from the prior year.

CARL Income Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Revenue N/A $13.1M+8.2% $12.1M N/A N/A $6.6M+8.4% $6.1M N/A
Cost of Revenue N/A $3.1M-2.1% $3.2M N/A N/A $1.8M+18.0% $1.5M N/A
Gross Profit N/A $9.9M+11.9% $8.9M N/A N/A $4.8M+5.2% $4.6M N/A
R&D Expenses N/A $4.4M+6.9% $4.2M N/A N/A $4.0M+0.9% $4.0M N/A
SG&A Expenses N/A $4.9M+46.8% $3.3M N/A N/A $1.9M-4.6% $2.0M N/A
Operating Income N/A -$9.0M-39.0% -$6.5M N/A N/A -$7.8M-23.1% -$6.3M N/A
Interest Expense N/A $380K+4.7% $363K N/A N/A $402K+23.7% $325K N/A
Income Tax N/A $0 $0 N/A N/A $0 $0 N/A
Net Income N/A -$8.5M-26.0% -$6.8M-18.1% -$5.7M N/A -$7.8M-24.5% -$6.3M-15.2% -$5.4M
EPS (Diluted) N/A $-0.40 $-1.47 N/A N/A $-2.06-32.9% $-1.55 N/A

CARL Balance Sheet

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Total Assets $130.1M-3.5% $134.9M+153.2% $53.3M N/A $51.8M N/A N/A N/A
Current Assets $126.7M-3.6% $131.5M+184.6% $46.2M N/A $49.4M N/A N/A N/A
Cash & Equivalents $85.8M-25.6% $115.4M+244.7% $33.5M N/A $40.1M-9.7% $44.4M+16.5% $38.1M N/A
Inventory $1.8M+37.7% $1.3M+25.5% $1.1M N/A $995K N/A N/A N/A
Accounts Receivable $11.4M+0.6% $11.3M+16.3% $9.7M N/A $6.8M N/A N/A N/A
Goodwill N/A N/A N/A N/A N/A N/A N/A N/A
Total Liabilities $31.3M+10.8% $28.2M-79.3% $136.3M N/A $122.5M N/A N/A N/A
Current Liabilities $14.3M+30.7% $10.9M+15.2% $9.5M N/A $8.8M N/A N/A N/A
Long-Term Debt $15.3M-0.6% $15.4M+0.1% $15.4M N/A $15.4M N/A N/A N/A
Total Equity $98.9M-7.3% $106.7M+228.4% -$83.1M-8.4% -$76.6M-8.5% -$70.6M-7.0% -$66.0M-14.4% -$57.7M-12.1% -$51.5M
Retained Earnings -$100.8M-9.3% -$92.2M-10.2% -$83.7M N/A -$71.2M N/A N/A N/A

CARL Cash Flow Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Operating Cash Flow -$5.3M+37.1% -$8.5M N/A N/A -$4.2M+44.6% -$7.6M N/A N/A
Capital Expenditures $73K-54.1% $159K N/A N/A $61K+17.3% $52K N/A N/A
Free Cash Flow -$5.4M+37.4% -$8.6M N/A N/A -$4.3M+44.1% -$7.6M N/A N/A
Investing Cash Flow -$24.2M-6964.1% -$343K N/A N/A -$61K-17.3% -$52K N/A N/A
Financing Cash Flow -$29K-100.0% $90.7M N/A N/A -$51K-100.4% $13.9M N/A N/A
Dividends Paid N/A N/A N/A N/A N/A N/A N/A N/A
Share Buybacks N/A N/A N/A N/A N/A N/A N/A N/A

CARL Financial Ratios

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Gross Margin N/A 75.9%+2.5pp 73.4% N/A N/A 72.8%-2.2pp 75.0% N/A
Operating Margin N/A -69.1%-15.3pp -53.8% N/A N/A -118.0%-14.1pp -103.9% N/A
Net Margin N/A -65.2%-9.2pp -56.0% N/A N/A -118.6%-15.3pp -103.2% N/A
Return on Equity N/A -8.0% N/A N/A N/A N/A N/A N/A
Return on Assets N/A -6.3%+6.4pp -12.7% N/A N/A N/A N/A N/A
Current Ratio 8.87-3.2 12.03+7.2 4.87 N/A 5.60 N/A N/A N/A
Debt-to-Equity 0.16+0.0 0.14+0.3 -0.19 N/A -0.22 N/A N/A N/A
FCF Margin N/A -65.9% N/A N/A N/A -115.8% N/A N/A

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Frequently Asked Questions

CARLSMED INC (CARL) reported $50.5M in total revenue for fiscal year 2025. This represents a 85.9% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

CARLSMED INC (CARL) revenue grew by 85.9% year-over-year, from $27.2M to $50.5M in fiscal year 2025.

No, CARLSMED INC (CARL) reported a net income of -$29.6M in fiscal year 2025, with a net profit margin of -58.7%.

CARLSMED INC (CARL) reported diluted earnings per share of $-2.12 for fiscal year 2025. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

CARLSMED INC (CARL) had EBITDA of -$30.3M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

As of fiscal year 2025, CARLSMED INC (CARL) had $85.8M in cash and equivalents against $15.3M in long-term debt.

CARLSMED INC (CARL) had a gross margin of 75.3% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

CARLSMED INC (CARL) had an operating margin of -60.5% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

CARLSMED INC (CARL) had a net profit margin of -58.7% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

CARLSMED INC (CARL) has a return on equity of -30.0% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

CARLSMED INC (CARL) generated -$29.6M in free cash flow during fiscal year 2025. This represents a -15.5% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

CARLSMED INC (CARL) generated -$29.0M in operating cash flow during fiscal year 2025, representing cash generated from core business activities.

CARLSMED INC (CARL) had $130.1M in total assets as of fiscal year 2025, including both current and long-term assets.

CARLSMED INC (CARL) invested $642K in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

CARLSMED INC (CARL) invested $17.0M in research and development during fiscal year 2025.

CARLSMED INC (CARL) had 27M shares outstanding as of fiscal year 2025.

CARLSMED INC (CARL) had a current ratio of 8.87 as of fiscal year 2025, which is generally considered healthy.

CARLSMED INC (CARL) had a debt-to-equity ratio of 0.16 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

CARLSMED INC (CARL) had a return on assets of -22.8% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

Based on fiscal year 2025 data, CARLSMED INC (CARL) had $85.8M in cash against an annual operating cash burn of $29.0M. This gives an estimated cash runway of approximately 36 months at the current burn rate. Cash runway measures how long a company can continue operating before running out of cash, assuming no additional funding.

CARLSMED INC (CARL) has a Piotroski F-Score of 5 out of 9, indicating neutral financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

CARLSMED INC (CARL) has an earnings quality ratio of 0.98x, considered low quality (accrual-driven). This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

CARLSMED INC (CARL) has an interest coverage ratio of -21.4x, meaning it can struggle to cover its interest obligations. This ratio divides operating income by interest expense. Ratios above 5x indicate strong debt-servicing ability, while ratios below 2x suggest the company may face difficulty meeting interest payments if earnings decline. Learn more in our complete guide to financial health indicators.

CARLSMED INC (CARL) scores 50 out of 100 on our Financial Profile, indicating moderate overall financial health. This composite score evaluates six dimensions: profitability (operating margin), revenue growth, leverage (debt-to-equity), liquidity (current ratio), cash flow quality (free cash flow margin), and shareholder returns (return on equity). Each dimension is normalized against standard financial benchmarks. Learn more in our complete guide to financial health indicators.

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