Reading CARL? Track it free: the weekly brief, plus an alert if the thesis breaks. No credit card.
Track CARL free→Reading CARL? Track it free: the weekly brief, plus an alert if the thesis breaks. No credit card.
Track CARL free→NASDAQHealth CareHealth Information ServicesSnapshot 2026-07-06
Recent financial performance sits well below its industry cohort — worth keeping an eye on, though it has not freshly broken.
The thesis is that CARL's growth potential is tied to its recent earnings beat. Revenue growth has been weak, but the last quarter showed a significant beat of 33%. It trades at a multiple above its peers, which suggests it looks cheap on this basis. The risk is that if CARL cuts guidance, it could hurt credibility and lead to a drop. Peer multiples imply a price about 4% above where it trades; this read is provisional.
Daily closes. Earnings/event dots are placed inline.
A consensus fair price across 2 valuation methods, at three horizons. Current price $12.29. As of 2026-07-06. Estimates are diagnostics, not price targets. Short-horizon estimates are close to coin-flips, so confidence is a method-agreement read, not a prediction.
Today's peer multiple on trailing earnings, with no growth credited. This is the headline read.
Adds projected growth, so it leans optimistic by design. Read it as upside context, not a base case.
A long-thesis check that carries the widest uncertainty of the three horizons.
One valuation read at a 12-month horizon, plus how price compares to peers and the company's own history.
Trading -4% versus the 12-month peer-multiple consensus (looks cheap on this basis).
TTM earnings are negative, so the read leans on sales- and cash-flow-based methods rather than P/E. This is a data condition, not a forward call.
Looks more expensive than peers.
Self-history needs ~20 months of data.
Each factor is a parallel diagnostic with a clear read of what it shows and how names like it have historically fared. Never aggregated into a single score.
Operating income rose in 0 of the last 3 quarter-over-quarter moves. Historically, Health Care names rated weak grew net income 30% of the time over the next year (vs 50% for the rest of the cohort, n=9274).
Over the trailing year it converted 1.04x of net income into operating cash flow.
Not enough signal yet.
Not enough signal to read sensitivity to the US dollar, the broad stock market, long-term interest rates, real (inflation-adjusted) rates, Fed net liquidity.
2 material management or governance events in the past 24 months, led by capital-allocation actions. Historically, Health Care names rated stable grew net income 46% of the time over the next year (vs 50% for the rest of the cohort, n=3552).
The next print and the backdrop around it (sector regime and the AI cycle). Context for the path, not a forecast of returns.
EPS estimate $-0.39 → $-0.40 (-2.6% / 30d). 0 raised, 2 cut, 2 covering analysts.
0 upgrades, 0 downgrades / 30d. 100% of analysts rate Buy.
1 PT revisions / 30d. Avg target 63.8% above current price.
How management runs the business: capital, margins, balance sheet, and how reliably they guide and deliver.
A guidance track record builds as the company issues and delivers on guidance.
Priorities management has stated in recent disclosures, with status and evidence drawn from earnings calls, filings, and press releases.
What a normal day, a bad day, and the worst of the last year would mean for a $10,000 position.
On a typical day, $10k can swing ±$260.
How much price usually moves either way.
On a bad day, this stock has moved -$754.
A rough but not unusual down day (about the 95th percentile).
In the worst 12 months, $10k could have lost $4,803.
Deepest peak-to-trough drop in the last year.
Past results, not a forecast. Not investment advice.
The most important moves since the prior daily snapshot.
Confidence changed from 'low' to 'medium'.
Signal changed from 'None' to 'mild_favorable'.
No, our read on the company is unchanged. There are no new strengths or weaknesses. The confidence level changed from low to medium. The signal changed from none to mild favorable.
as of 2026-07-06
Specific, dated things to watch for, each with what would confirm it and what would prove it wrong.
Why it matters: Earnings reports provide key updates on financial performance. This can impact stock sentiment.
Confirms one read:Earnings report shows revenue growth exceeding 15% year over year.
Confirms the other:Earnings report shows revenue growth below 10% year over year.
Recent news graded against this company's own objectives — whether it reinforces or challenges the thesis, and how confirmed it is.
No graded news catalysts for CARL yet.
Conditional scenarios: if X happens, the view would shift in this direction. These are not predictions.
Recent SEC 8-K filings ranked by likely impact, confidence, and recency.
Results of Operations and Financial Condition. On May 5, 2026, Carlsmed, Inc. (the "Company") issued a press release announcing its financial results for the quarter ended March 31, 2026. The full text of the press release is furnished hereto as Exhibit 99.1 and is incorporated herein by reference. The foregoing information in this Item 2.02 (including Exhibit 99.1) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, nor shall it be deeme…
Whether the overall read has been drifting up or down lately, and how it's changed since last week.
Not investment advice. Scores describe historical and current data; they are not forecasts of future returns. Consult a licensed advisor before making investment decisions.
TTM earnings are negative. P/E-based methods drop out and the estimate leans on sales- and cash-flow-based methods. A data condition, not a forward call.
Trailing four: 2025-Q1, 2025-Q2, 2025-Q3, 2026-Q1
A side-by-side read on sector standing, valuation, and risk versus Health Care Technology.
| Stock | Sector standing | Risk |
|---|---|---|
CARL Carlsmed, Inc. | Above typical Show detailsSector percentile: 80 of 100 | elevated |
VEEV Veeva Systems | Above typical Show detailsSector percentile: 79 of 100 | elevated |
SOLV Solventum | Above typical Show detailsSector percentile: 84 of 100 | moderate |
TEM TEMPUS AI, INC. | Typical Show detailsSector percentile: 64 of 100 | elevated |
TXG 10X Genomics, Inc. | Typical Show detailsSector percentile: 65 of 100 | elevated |
Not investment advice. As of 2026-07-06.
via XLV
Tailwind = sector leading the S&P 500; headwind = trailing. Both can be constructive. Historically, headwind regimes have averaged stronger forward returns than tailwind.
Context label only: describes the market state (e.g. real bear vs narrative panic, healthy uptrend vs late-stage froth). It is not a per-ticker buy/sell signal and does not predict factor performance.
Not investment advice. As of 2026-07-06.
Management has raised the full year 2026 revenue guidance to a range of $72 million to $77 million.
Stated in 2 of last 2 quarters. Revenue guidance increased from $70-$75M to $72-$77M for 2026. Revenue for 2026-Q1 was $16.1M, showing growth from $13.1M in 2025-Q3. The trajectory is delivering on the raised guidance.
“Full year 2026 revenue guidance raised to $72 million to $77 million.”
“Revenue for 2026 is expected to be in the range of $70 to $75 million.”
Management is focused on improving operating income, which remains negative.
Stated in 3 of last 3 quarters. Operating income was negative at -$9.3 million for 2026-Q1, worsening from -$6.5 million in 2025-Q2. Despite revenue growth, operating income remains a challenge with limited progress.
“Operating income was negative at -$9.3 million.”
“Operating income was negative at -$9.0 million.”
“Operating income was negative at -$6.5 million.”
Management aims to enhance cash flow from operations, which is currently negative.
Stated in 2 of last 2 quarters. Cash from operations was negative at -$13.0 million for 2026-Q1, deteriorating from -$8.5 million in 2025-Q3. The trajectory shows limited progress in enhancing cash flow.
“Cash from operations was negative at -$13.0 million.”
“Cash from operations was negative at -$8.5 million.”
Why it matters: An increase in revenue guidance shows strong growth momentum. This can boost investor confidence.
Confirms:Management raises revenue guidance for 2026 to more than $77 million.
Disproves:Management keeps revenue guidance for 2026 at $72 million or lower.
Why it matters: Improving operating income is key for Carlsmed's financial health. It shows the company is managing costs better.
Confirms:Operating income turns positive or shows less than -$9 million for the next quarter.
Disproves:Operating income drops below -$9.3 million for the next quarter.
Why it matters: Improving cash from operations shows better cash flow management. This is key for future growth.
Confirms:Cash from operations is now positive. It improves from -$13.0 million.
Disproves:Cash from operations stays negative or gets worse from -$13.0 million.
Why it matters: If sector growth speeds up, it may help Carlsmed's performance. This shows a stronger market.
Confirms one read:Health Care sector revenue growth speeds up to 9% or more.
Confirms the other:Health Care sector revenue growth keeps slowing down below 9%.
Results of Operations and Financial Condition. On February 25, 2026, Carlsmed, Inc. (the "Company") issued a press release announcing its financial results for the fourth quarter and fiscal year ended December 31, 2025. The full text of the press release is furnished hereto as Exhibit 99.1 and is incorporated herein by reference. The foregoing information in this Item 2.02 (including Exhibit 99.1) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, a…
Results of Operations and Financial Condition. On January 12, 2026, the Company issued a press release announcing its preliminary and unaudited revenue for the year ended December 31, 2025. The full text of the press release is furnished hereto as Exhibit 99.1 and is incorporated herein by reference. The foregoing information in this Item 2.02 (including Exhibit 99.1) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, nor shall it be dee…
Results of Operations and Financial Condition. On November 6, 2025, the Company issued a press release announcing its financial results for the quarter ended September 30, 2025. The full text of the press release is furnished hereto as Exhibit 99.1 and is incorporated herein by reference. The foregoing information in this Item 2.02 (including Exhibit 99.1) shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, nor shall it be deemed incorpor…
Entry into a Material Definitive Agreement. On October 29, 2025, Carlsmed, Inc. (the “Company”) entered into the Fifth Amendment (the “Fifth Amendment”) to the Loan and Security Agreement, dated as of December 20, 2022, with Customers Bank (the “Customers Loan Agreement”). The Fifth Amendment provides the Company with a credit facility consisting of (i) a term loan in the principal amount of up to $50.0 million (the “Term Loan”), $17.5 million of which is contingent upon the achievement of re…