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Carlsmed (CARL) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 25, 2026

Carlsmed (CARL) reported revenue of $15.2M for the fourth quarter 2025 (Q4 2025), +61% from a year earlier and +16% from the quarter before. Operating margin was -61.4%, net loss $8.6M (56.8% of revenue).

Revenue$15.2M
Year over year+61%
Quarter over quarter+16%
Operating margin-61.4%
Net earnings−$8.6M

Carlsmed, Q4 2025: revenue $15.2M (+61% year over year), operating margin -61.4%, net loss $8.6M, operating cash flow −$5.3M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$15.2M+16%+61%
Operating profit−$9.3M——
Net earnings−$8.6M——
Operating cash flow−$5.3M——

What changed

Revenue was $15.2M in Q4 2025, up 61% year over year and up 16% from the previous quarter.

Gross margin was 76.5%, up 1.9 points from a year earlier. Operating costs exceeded revenue by $9.3M, an operating margin of -61.4%. Operating expenses grew 79% against revenue growth of 61%. The fastest-growing cost line was General & admin (+109%). The quarter ended with a net loss of $8.6M, wider than the previous quarter's $8.5M loss.

Operating cash flow was −$5.3M. Non-cash charges added back $98K of depreciation and amortization and $790K of share-based compensation. Working capital and other items added $2.4M. Capital expenditures of $73K exceeded it, leaving free cash flow of −$5.4M.

Questions

What was Carlsmed's revenue in the fourth quarter 2025?

Carlsmed (CARL) reported revenue of $15.2M for the fourth quarter 2025 (Q4 2025), +61% from a year earlier and +16% from the quarter before.

Was Carlsmed profitable in the fourth quarter 2025?

Operating loss was $9.3M (-61.4% of revenue) and net loss $8.6M.

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Source: Carlsmed 10-K on SEC EDGAR.