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Carlsmed cash flow, quarter by quarter

Latest: Q2 2026 · from the cash-flow statements filed with the SEC

Free cash flow−$7.5M in Q2 2026 · −$34.6M over twelve months

Operating cash flow−$7.4M
Capital spending−$121K
Free cash flow−$7.5M
Cash conversion cycle39 days

Analysis

In Q2 2026, Carlsmed generated −$7.4M of operating cash flow and spent $121K on capital projects, leaving free cash flow of −$7.5M. That is $110K less than in Q2 2025 (−$7.4M).

Over the twelve months to Jun 30, 2026, operating cash flow was −$34.1M; the largest uses were other investing ($44.0M), operating cash flow ($34.1M), capital spending ($432K); besides operations, cash came from other financing ($90.9M), shares issued ($494K); the cash balance rose by $12.8M.

Operating cash flow was −$7.4M against net income of −$10.5M. The largest differences: stock-based pay +$2.3M, receivables −$2.2M, accrued liabilities +$922K.

Its cash conversion cycle was 39 days (receivables 63 + inventory 45 − payables 69).

Free cash flow

Carlsmed: free cash flow by quarterCarlsmed: free cash flow by quarter−$7.6MQ3 2024−$4.3MQ4 2024−$8.2MQ1 2025−$7.4MQ2 2025−$8.6MQ3 2025−$5.4MQ4 2025−$13.1MQ1 2026−$7.5MQ2 2026
Operating cash flow less capital spending.
Carlsmed: operating cash flow against capital spendingCarlsmed: operating cash flow against capital spendingOperating cash flowCapital spending−$7.6M$52KQ3 2024−$4.2M$61KQ4 2024−$8.2M$83KQ1 2025−$7.0M$327KQ2 2025−$8.5M$159KQ3 2025−$5.3M$73KQ4 2025−$13.0M$79KQ1 2026−$7.4M$121KQ2 2026
Latest (Q2 2026): Operating cash flow −$7.4M, Capital spending $121K.

Cash runway and the debt wall

Cash & investments$70.2M
Debt$15.4M
Net cash$54.9M
Cash runway2.0 years

Carlsmed is burning cash: its operations consume cash, a free cash flow of −$34.6M a year at the current rate against $70.2M of cash and investments: a runway of about 2.0 years before any new financing.

Carlsmed: debt maturities by year (FY2025)Carlsmed: debt maturities by year (FY2025)$868KYear 2$5.2MYear 3$5.2MYear 4$4.3MYear 5
Principal due in each year as disclosed in the annual report, against $70.2M of cash and investments now.

Where the cash came from and went

Carlsmed: sources (+) and uses (−) of cash, Q2 2026Carlsmed: sources (+) and uses (−) of cash, Q2 2026Cash drawn (+) / kept (−)$26.8MOther investing−$19.5MOperating cash flow−$7.4MOther financing$207KCapital spending−$121KShares issued$36K
Carlsmed: sources (+) and uses (−) of cash, TTM to Q2 2026Carlsmed: sources (+) and uses (−) of cash, TTM to Q2 2026Other financing$90.9MOther investing−$44.0MOperating cash flow−$34.1MCash drawn (+) / kept (−)−$12.8MShares issued$494KCapital spending−$432K

From profit to cash

Carlsmed: net income to operating cash flow, Q2 2026Carlsmed: net income to operating cash flow, Q2 2026Net income−$10.5MDepreciation & amortization$130KStock-based pay$2.3MReceivables−$2.2MInventory−$803KPayables$670KAccrued liabilities$922KPrepaid and other assets−$269KOperating cash flow−$7.4M
Non-cash charges are added back; money tied up in receivables or inventory is subtracted.
QuarterReceivable daysInventory daysPayable daysCash conversion cycle
Q2 202663456939
Q1 202666489123
Q4 202569419317
Q3 202574357732

Every quarter

QuarterOperating cash flowCapital spendingNet borrowing (+) / repaid (−)Shares issuedCash drawn (+) / kept (−)Free cash flow
Q2 2026−$7.4M−$121K—$36K$26.8M−$7.5M
Q1 2026−$13.0M−$79K—$436K$12.8M−$13.1M
Q4 2025−$5.3M−$73K—$21K$29.6M−$5.4M
Q3 2025−$8.5M−$159K—$1K−$81.9M−$8.6M
Q2 2025−$7.0M−$327K—$34K$10.0M−$7.4M
Q1 2025−$8.2M−$83K—$12.1M−$3.3M−$8.2M
Q4 2024−$4.2M−$61K−$25K−$26K$4.3M−$4.3M
Q3 2024−$7.6M−$52K—$13.9M−$6.3M−$7.6M

Carlsmed: income statement and cash flow

Carlsmed, Q2 2026: revenue $18.9M (+57% year over year), operating margin -58.3%. The chart follows the revenue to costs, profit and cash.

Carlsmed: every quarter, Q/Q and Y/Y → Open in the app

Read automatically from the company’s XBRL cash-flow statements; quarterly figures for the fourth quarter are the year less the first three. Errors are possible. Not investment advice.