Carlsmed, Inc. Reports Strong Q4 2025 Earnings and Growth Outlook
Written by Emily J. Thompson, Senior Investment Analyst
Updated: 1 hour ago
0mins
Should l Buy CARL?
Source: seekingalpha
- 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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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: 13.060
Low
18.00
Averages
20.50
High
24.00
Current: 13.060
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 intended to improve the digital surgical planning process. 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.
- 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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- 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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- Surgical Milestone: Carlsmed successfully performed the first personalized cervical plating procedure at UCSF, marking a significant advancement for its corra Cervical Plating System and boosting positive sentiment around its stock.
- Product Innovation: The corra system aims to enhance surgical precision and improve patient outcomes by utilizing patient-specific plates tailored to individual anatomical needs, with plans for further evaluations and a commercial launch later this year.
- Digital Surgery Ecosystem: Leveraging Carlsmed's digital surgery ecosystem, the system customizes key anatomical features, including screw positioning and plate curvature, pre-operatively for each vertebral level, supporting consistent fixation and precise alignment for ACDF procedures.
- Wall Street Optimism: Carlsmed's stock carries a Buy rating with an average price target of $20.25, with analysts from BTIG and Truist Securities raising their targets to $24.00 and $20.00 respectively, reflecting confidence in the company's future performance.
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- Earnings Report Schedule: Carlsmed will release its Q4 and full year 2025 financial results after market close on February 25, 2026, providing investors with the latest insights into the company's operational performance.
- Conference Call Details: Management will host a conference call and webcast at 1:30 PM Pacific Time, with participants encouraged to dial in 5 to 10 minutes early to ensure they receive timely updates on company developments.
- Replay Availability: A replay of the webcast will be available shortly after the call concludes, allowing investors who could not attend live to review the meeting content, thereby enhancing information transparency.
- Company Mission: Carlsmed is committed to improving healthcare outcomes and reducing costs for spine surgery through AI-enabled personalized solutions, showcasing its innovative potential and competitive edge in the medical technology sector.
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- Layoff Plan: Heineken plans to cut 5,000 to 6,000 jobs over the next two years, representing about 7% of its 87,000 workforce, aiming to enhance productivity in response to a 2.4% decline in beer sales last year.
- Profit Growth Target: Despite the drop in total beer volumes, Heineken's adjusted operating profit rose by 4.4%, with the company forecasting operating profit growth of 2% to 6% for 2026, demonstrating resilience in a challenging market environment.
- Digital Transformation: The layoffs are partly attributed to the push for AI and digitization, with around 3,000 roles expected to move to business services, aiming for annual savings of €400 to €500 million, further advancing its EverGreen 2030 strategy.
- Market Reaction: Heineken's shares rose 3.4% in the latest trading session, and the stock is up nearly 7% year-to-date, reflecting market confidence in its strategic adjustments and future growth potential.
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- Surgical Milestone: Carlsmed successfully completed its first posterior lumbar spine surgery using the aprevo® Bi-lateral Posterior System at the University of Colorado Hospital, reinforcing the company's leadership in personalized spine solutions.
- Technological Advantage: The system integrates AI-enabled software and clinical intelligence, allowing surgeons to plan with greater precision, thereby improving patient outcomes and reducing costly revision surgeries.
- Market Outlook: Carlsmed anticipates a full commercial launch of the system later this year, aiming to provide personalized procedural options to patients, surgeons, and hospital systems, thereby expanding its market share.
- Surgeon Feedback: Dr. CJ Kleck emphasized that the aprevo® technology is crucial across all surgical stages, enabling tailored treatment based on each patient's anatomy and pathology, which enhances confidence in achieving alignment goals.
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