Carlsmed (CARL) Q1 2026 Earnings Transcript
Written by Emily J. Thompson, Senior Investment Analyst
Updated: 1 hour ago
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Should l Buy CARL?
Source: NASDAQ.COM
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Analyst Views on CARL
Wall Street analysts forecast CARL stock price to rise
5 Analyst Rating
5 Buy
0 Hold
0 Sell
Strong Buy
Current: 9.090
Low
18.00
Averages
20.50
High
24.00
Current: 9.090
Low
18.00
Averages
20.50
High
24.00
About CARL
Carlsmed, Inc. is a commercial-stage medical technology company providing AI-enabled personalized spine surgery solutions. Its aprevo technology platform offers solutions for the entire surgical workflow, including pre-operative AI-enabled, surgical planning; intra-operative advanced visualization to support precision placement of aprevo interbody implants, and post-operative data collection and insights for each surgeon. Its pre-operative planning software utilizes standard-of-care diagnostic imaging and AI-enabled algorithms to develop personalized digital surgical plans and to design aprevo interbody implants for each patient's pathology and vertebral bone topography. Additionally, the aprevo technology platform supports the collection of real-world, post-operative data to inform its digital surgical planning process. Its platform is commercially available in the United States and is indicated for use in lumbar interbody fusion procedures.
About the author

Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
- Earnings Performance: Carlsmed, Inc. reported a Q1 GAAP EPS of -$0.32, indicating challenges in profitability, although revenue reached $16.1 million, reflecting ongoing market demand.
- Revenue Growth Target: The company aims for 2026 revenue between $70 million and $75 million, demonstrating management's confidence in future product launches, particularly in the cervical and bilateral product markets.
- Growth Outlook: Carlsmed anticipates a 44% growth rate moving forward, showcasing strong momentum in the medical device sector, especially post-launch of new products that could attract more customers.
- Historical Financial Data: Despite the current quarter's underperformance, the historical financial data provides investors with context to assess the company's long-term growth potential and market positioning.
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- Significant Revenue Growth: Carlsmed reported Q1 2026 revenue of $16.1 million, reflecting a 58% year-over-year increase, primarily driven by the expansion of its surgeon user base and increased procedure volumes, indicating a rapidly growing market demand for personalized surgery.
- Surgeon User Base Expansion: The company noted a more than 60% year-over-year increase in surgeon users, highlighting accelerated clinical adoption of personalized surgery procedures, particularly among early-career and post-fellowship surgeons, which further enhances market penetration.
- Improved Production Efficiency: Through technology investments, Carlsmed reduced lead times by over 30%, achieving delivery of surgical kits within six business days post-surgeon approval, and this capital-light, demand-driven model enables rapid scaling while maintaining a focus on patient outcomes.
- Strong Market Outlook: With the recent CMS proposal for 2027, all Aprivile lumbar fusion procedures will receive higher reimbursement, providing greater economic value to hospitals and further driving Carlsmed's growth potential in the spine surgery market.
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- Earnings Beat: Carlsmed reported a Q4 GAAP EPS of -$0.32, surpassing expectations by $0.11, indicating positive progress in the company's recovery of profitability.
- Revenue Growth: The company achieved Q4 revenue of $15.2 million, exceeding market expectations by $0.34 million, reflecting strong product demand and an increase in market share.
- Future Outlook: Carlsmed targets revenue between $70 million and $75 million for 2026, with plans to launch cervical and bilateral products, demonstrating confidence in future growth.
- Growth Prospects: The company anticipates a 44% growth outlook, highlighting its competitiveness and ongoing innovation capabilities in the medical device market.
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- Significant Revenue Growth: Carlsmed reported $15.2 million in revenue for Q4 2025, a 61% increase from $9.4 million in Q4 2024, demonstrating strong expansion potential in the spine surgery market.
- Improved Gross Margins: The gross margin for Q4 reached 76.5%, up from 74.7% in Q4 2024, indicating substantial progress in cost control and operational efficiency.
- New Product Launches: The company announced the launch of the first bilateral posterior aprevo procedure, with a full commercial release planned for the second half of 2026, further enhancing market penetration for personalized spine surgery.
- Optimistic Future Outlook: The CFO projected 2026 revenue between $70 million and $75 million, representing a 44% annual growth rate at the midpoint, reflecting confidence in sustained growth and market demand.
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- Quarterly Revenue Growth: Carlsmed reported fourth-quarter revenue of $15.2 million, reflecting a 61.2% year-over-year increase, which underscores the strong market demand for its personalized spine surgery solutions and solidifies its position in the medical technology sector.
- Impressive Annual Performance: The company achieved full-year revenue of $50.5 million in 2025, an 86% increase compared to 2024, indicating effective scaling and profitability enhancement, likely to attract more investor interest.
- Gross Margin Improvement: The gross margin for the fourth quarter reached 76.5%, up from 74.7% in the previous year, demonstrating ongoing improvements in cost control and operational efficiency, which are crucial for enhancing market competitiveness.
- Optimistic Future Outlook: Carlsmed anticipates revenue for 2026 to range between $70 million and $75 million, representing a 44% growth at the midpoint compared to 2025, reflecting the company's confidence in future growth and its ongoing innovation in the medical technology field.
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