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Carlsmed (CARL) earnings and revenue breakdown

Latest: Q2 2026 · 10-Q filed Aug 5, 2026 · Carlsmed (CARL) Q2 2026 earnings results →

Q2 2026 Revenue up 57% year over year to $18.9M · 55¢ of every $1 of revenue lost · operating margin -58.3%

Carlsmed made $18.9M in Q2 2026 (+57% Y/Y). Operating margin -58.3%, net loss $10.5M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Aug 5, 2026.

Revenue$18.9M
Year over year+57%
Operating margin-58.3%
Net earnings−$10.5M
Operating cash flow−$7.4M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $18.9M in Q2 2026, up 57% year over year and up 18% from the previous quarter.

Gross margin was 76.8%, up 3.4 points from Q2 2025. Operating costs exceeded revenue by $11.0M, an operating margin of -58.3%. Operating expenses grew 66% against revenue growth of 57%. The fastest-growing cost line was General & admin (+128%). The quarter ended with a net loss of $10.5M, wider than the previous quarter's $8.7M loss.

Operating cash flow was −$7.4M. Non-cash charges added back $130K of depreciation and amortization and $2.3M of share-based compensation. Working capital and other items added $751K. Capital expenditures of $121K exceeded it, leaving free cash flow of −$7.5M.

Quarterly history

Carlsmed revenue by quarterCarlsmed revenue by quarter$12.1MQ2 2025$13.1MQ3 2025$15.2MQ4 2025$16.1MQ1 2026$18.9MQ2 2026
Carlsmed net earnings by quarterCarlsmed net earnings by quarter−$6.8MQ2 2025−$8.5MQ3 2025−$8.6MQ4 2025−$8.7MQ1 2026−$10.5MQ2 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q2 202610-QAug 5, 2026$18.9M+57%-58.3%−$10.5M−$7.4M
Q1 202610-QMay 5, 2026$16.1M+58%-57.6%−$8.7M−$13.0M
Q4 202510-KFeb 25, 2026$15.2M+61%-61.4%−$8.6M−$5.3M
Q3 202510-QNov 6, 2025$13.1M+98%-69.1%−$8.5M−$8.5M
Q2 202510-QAug 28, 2025$12.1M+99%-53.8%−$6.8M−$7.0M

Charts

Carlsmed: revenue growth, year over year and quarter over quarterCarlsmed: revenue growth, year over year and quarter over quarterY/YQ/Q+99%Q2 2025+98%+8%Q3 2025+61%+16%Q4 2025+58%+6%Q1 2026+57%+18%Q2 2026
Latest (Q2 2026): Y/Y +57%, Q/Q +18%.
Carlsmed: where the cash came from (+) and went (−), TTM to Q2 2026Carlsmed: where the cash came from (+) and went (−), TTM to Q2 2026Other financing$90.9MOther investing−$44.0MOperating cash flow−$34.1MCash drawn (+) / kept (−)−$12.8MShares issued$494KCapital spending−$432K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Carlsmed: profit against cash, quarter by quarterCarlsmed: profit against cash, quarter by quarterNet incomeOperating cash flow−$7.8M−$7.6MQ3 2024−$4.7M−$4.2MQ4 2024−$5.7M−$8.2MQ1 2025−$6.8M−$7.0MQ2 2025−$8.5M−$8.5MQ3 2025−$8.6M−$5.3MQ4 2025−$8.7M−$13.0MQ1 2026−$10.5M−$7.4MQ2 2026
Latest (Q2 2026): Net income −$10.5M, Operating cash flow −$7.4M.
Carlsmed: long-term debt falling due (FY2025)Carlsmed: long-term debt falling due (FY2025)$868K2027$5.2M2028$5.2M2029$4.3M2030
Cash $85.8M, short-term investments $24.0M, long-term debt $15.3M at 2025-12-31.
Carlsmed in its industry: growth against margin (111 companies, SIC 3841)Carlsmed in its industry: growth against margin (111 companies, SIC 3841)revenue growth, year over year →↑ operating marginmedian +10%median -9%MDLNMMMSYKBSXBDXBAXSOLVRMDDXCMWSTMMEDPODDGMEDTFXICUIMMSIIARTPENHAETNDMEMBCIRTCATECGKOSOFIXINSPNVCRUFPTATRCBVSAORTPRCTTCMDARAYANGOKIDSSKINLMATHTFLMDXGCERSSIBNTMCISTIMINFUBBNXKMTSOSURANIKDCTHRCELSGHTIRMDXTNTLUNGNPCEPDEXTELALNSRSIMOBIAPYXSSIICVRXCLPTKRMDTLSIPROFSNWVCTSOIDXGUTMDRVPSNOAPREMNEPHDRIOVVOSBTCYNXGLMDAIMDNCPMINONE.SRTSSINTIVFNMTCNSPRAURXXAIRLUCDTNONINBSRNXTVTAKUSAQICUVYCOHRGNCNSYPLSEPETVFEMYOSRHCODXOBIORDGLPAVMGUTSCARL (+57%, -58%)
Surgical & Medical Instruments & Apparatus; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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About Carlsmed

Carlsmed is a medical technology company pioneering AI-enabled personalized spine surgery solutions with a mission to improve outcomes and decrease the cost of healthcare for spine surgery and beyond.

In its own words, from its 8-K, filed Aug 5, 2026.

Carlsmed against its Surgical & Medical Instruments & Apparatus peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +57% against the peers' median +5%. Operating margin: -58.3% against the peers' median 13.3%.

CompanyQuarterRevenueY/YOp. margin
CARL CarlsmedQ2 2026$18.9M+57%-58.3%
MDLN MedlineQ3 2026$7.9B+10%6.4%
MMM 3MQ3 2026$6.6B+1%23.7%
SYK StrykerQ3 2026$6.5B+8%15.9%
BSX Boston ScientificQ3 2026$5.1B+1%16.1%
BDX Becton DickinsonQ3 FY26$5.0B+5%13.3%
BAX Baxter InternationalQ3 2026$3.0B+5%7.6%
SOLV SolventumQ3 2026$1.9B-7%3.5%
RMD ResMedQ1 FY27$1.4B+6%32.0%

Source: Carlsmed 10-Q on SEC EDGAR · CIK 1794546 · Surgical & Medical Instruments & Apparatus

13F: who owns CARL and who is buying

Largest holders of CARL (13F)Largest holders of CARL (13F)Jupiter Topco LLC$13.0MJanus Henderson Group$11.1MParkman Healthcare Partners LLC$6.2MBlackRock$5.5MKCM Capital$4.6MVanguard Group$4.4MPier Capital, LLC$3.9MMillennium Management LLC$3.1MPalumbo Wealth Management LLC$2.8MVanguard Capital Management LLC$2.5M
Funds' net buying of CARL by quarter (13F)Funds' net buying of CARL by quarter (13F)$59.7M2025-09−$646K2025-12$7.8M2026-03$3.9M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on CARL

History

Every quarter: Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results

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