Carlsmed, Inc.(CARL)Fundamental Analysis & Financials
NASDAQ

Valuation Snapshot

What the multiples imply about expectations

The market considers the company to be a smaller player with a significant market presence. At current multiples, it trades fairly valued—reflecting market expectations.

Valuation Metrics

Ratios and multiples

EV/Revenue (TTM)5.20

Financial Health

Liquidity and leverage

ROE (TTM)-66.14%
ROA (TTM)-28.19%
Debt/Equity (MRQ)0.26

The company's financial health appears moderate. Moderate ROE and moderate ROA reflect reasonably efficient capital use. Debt is manageable within acceptable ranges.

Valuation Multiples

Current valuation metrics

P/B Ratio4.70
P/S Ratio6.27

Quarterly Earnings History

Recent quarterly financial performance and trends

Latest Quarter
Q2 2026
Revenue
$18.94M
Net Income
-$10.51M
EPS (Diluted)
-$0.39
QuarterRevenueNet IncomeGross ProfitEPS (Basic)EPS (Diluted)Gross MarginNet Margin
Q2 2026(Latest)$18.94M-$10.51M$14.54M-$0.39-$0.3976.8%-55.5%
Q1 2026$16.12M-$8.70M$12.43M-$0.32-$0.3277.1%-54.0%
Q4 2025$15.17M-$8.61M$11.61M-$0.32-$0.3276.5%-56.8%
Q3 2025$13.07M-$8.53M$9.93M-$0.40-$0.4075.9%-65.2%
Q2 2025$12.08M-$6.77M$8.87M-$0.26-$0.2673.4%-56.0%

Key Insights:

  • Revenue increased by 17.5% from previous quarter
  • Net margin of -55.5% indicates low profitability
  • EPS declined by 21.9% quarter-over-quarter

Financial Efficiency

Utilization and collections performance

Asset Turnover 0.49 indicates low efficiency. Receivables Turnover 5.57 and DSO 65.52 reflect poor collections. Working Capital Turnover 0.56 is moderately efficient. ROIC -31.8% highlights weak capital returns.

Efficiency Metrics

Asset Turnover0.49
Receivables Turnover5.57
Working Capital Turnover0.56
Days Sales Outstanding65.52
Days Inventory Outstanding54.00
ROIC (TTM)-31.8%
Inventory Turnover6.76
Cash Conversion Cycle-11.63

Profitability & Growth

Margins and earnings power

Revenue (TTM)
$63.30M
56.70% YoY
Profit Margin (TTM)
-57.42%
Operating Margin (TTM)
-58.27%
Gross Profit (TTM)
$48.50M
Gross Margin 76.63%
EBITDA (TTM)
-$38.26M
EBITDA Margin -60.44%
Net Income (TTM)
-$36.35M

Efficiency Performance Matrix

4-quadrant analysis of operational efficiency vs profitability

Efficiency vs Profitability Quadrants

High Efficiency
High Margin
High Efficiency
Low Margin
Low Efficiency
High Margin
Low Efficiency
Low Margin

Efficiency Analysis

Asset Turnover
Efficiency:0.49x
Margin:76.6%
Quadrant:Margin-Driven
Receivables Turnover
Efficiency:5.57x
Margin:-58.3%
Quadrant:Weak Operations
Working Capital
Efficiency:0.56x
Margin:-57.4%
Quadrant:Weak Operations
Overall Efficiency Score

Operationally weak with structural efficiency and margin issues

⚠️ Thresholds are benchmark-based heuristics derived from long-term industry averages, not strict valuation rules.

• Bubble size represents ROIC magnitude

• Green (Optimal): Excellent efficiency-profitability balance

• Blue (Efficiency-Driven): High turnover, room to improve margins

• Yellow (Margin-Driven): Strong margins, opportunity to improve efficiency

• Red (Weak Operations): Areas needing improvement on both dimensions

Market Data & Share Structure

Comprehensive valuation metrics and ownership breakdown

Market Data & Capitalization

Market Cap
$396.71M
Small-cap: Higher growth potential, increased volatility
Enterprise Value
$329.40M
EV 17% < Market Cap: Net cash position
Next Earnings Date
11/05/2026
Scheduled quarterly results announcement

Share Statistics & Ownership

Shares Outstanding
27.30M
Total shares issued and held by all shareholders
Shares Float
15.65M
57% float - restricted shares held
Institutional Ownership
40.43%
Moderate - balanced ownership
Insider Ownership
45.04%
High alignment - strong insider conviction
Shares Short
1.05M
6.7% of float - elevated short interest
Implied Shares Outstanding
27.30M
Matches reported shares - consistent data

Profitability Margin Pyramid

Hierarchical view of margin compression from revenue to net income

Margin Hierarchy by Profitability Level

100.0%
Revenue
$63.30M
76.6%
Gross Profit
$48.50M
-60.4%
EBITDA
-$38.26M
-57.4%
Net Income
-$36.35M
Margin Profile:
Revenue— 100.0% margin (Top line revenue generation)
Gross Profit— 76.6% margin (Revenue minus cost of goods sold)
EBITDA— -60.4% margin (Earnings before interest, taxes, depreciation, and amortization)
Net Income— -57.4% margin (Bottom line profitability after all expenses)

Margin Analysis

Total Revenue

Amount:$63.30M
Margin:100.0%
Top line revenue generation

Gross Profit

Amount:$48.50M
Margin:76.6%
Revenue minus cost of goods sold

EBITDA

Amount:-$38.26M
Margin:-60.4%
Earnings before interest, taxes, depreciation, and amortization

Net Income

Amount:-$36.35M
Margin:-57.4%
Bottom line profitability after all expenses

Margin Quality Assessment

Thin margins indicating potential profitability challenges

• Larger circles represent higher dollar amounts

• Margin percentages show profitability at each level

• Blue: Revenue base

• Green: Gross profitability

• Yellow: Operating performance

• Red: Net profitability

Operating Cash & Liquidity

Core cash generation and short-term solvency

Cash Flow Analysis

Operating Cash Flow (TTM)

-$34.15M

Cash from core operations

Free Cash Flow (TTM)

-$35.67M

Available after capex

Financial Position & Liquidity

Current Ratio

8.84

Healthy

Quick Ratio

8.31

Strong

Net Cash

$67.31M

Net creditor

Total Cash

$89.22M

Balance sheet cash

Total Debt

$21.92M

Outstanding borrowings

Cash Conversion Cycle

Working capital efficiency measurement

Days Sales Outstanding

65.5

days to collect payment

Days Inventory Outstanding

54.0

days to turn inventory

Cash Conversion Cycle

-11.6

net days of cycle

Excellent cash conversion — working capital cycles very efficiently.

Ownership & Shareholder Sentiment

Insider, institutional, and short interest positions

Insider Ownership

45.04%

Strong confidence

Institutional Ownership

40.43%

Strong support

Short % of Float

10.31%

Heavy bearish

Short Ratio (Days)

13.1d

days to cover

Ownership structure shows strong insider confidence and mixed institutional participation.

Dividends & Shareholder Returns

Policy stance and implications

The company does not currently pay a regular dividend — prioritizing reinvestment for growth. This makes it attractive for growth investors, while income-oriented investors may prefer peers with dividend payouts.

Trailing Dividend Rate
0
Trailing Dividend Yield
0.00%
Forward Annual Dividend Yield
0.00%