Skip to content
Summer 2026 · 26% off every plan with SUMMER26 See pricing
Optionomics
CARL · 10-Q filed May 5, 2026

CARL earnings analysis

What we found in CARL's 10-Q: the parts that mattered, the offsets in the same document, and what the company said about what comes next.

Our reading of the filing · Free to read, no account needed

Carlsmed reported a strong Q1 2026, with revenue increasing by 58.2% year-over-year to $16.1 million, exceeding consensus estimates of $14.9 million. However, despite significant revenue growth, the company recorded a net loss of $8.7 million, reflecting rising operating expenses, and the diluted EPS improved to -$0.32 from a previous estimate of -$0.40. Management raised its guidance for full-year 2026 revenue to a range of $72-$77 million, up from $70-$75 million.

What stood out

The parts that mattered.

Pulled out of the filing itself, with the figures the company reported.

Significant Revenue Growth
Q1 2026 revenue reached $16.1 million, a 58.2% increase from $10.2 million in Q1 2025.
EPS Improvement
Diluted EPS improved to -$0.32 compared to a prior estimate of -$0.40.
Raised Full-Year Guidance
Management increased revenue guidance to $72-$77 million for 2026, up from $70-$75 million.
Gross Margin Enhancement
Gross margin improved to 77.1%, up from 74.9% in the prior year.
Increased Operating Expenses
Operating expenses rose by 62.5% with significant increases in research and development and sales efforts.
Strong Sales Growth
The number of trained surgeon users increased by over 60% compared to the prior year.
What to watch

And the other side of it.

The offsets in the same document — the things a summary that only listed the good news would have left out.

Rising Operating Expenses
Total operating expenses increased by 62.5% year-over-year to $21.7 million.
Growing Net Loss
Net loss increased to $8.7 million from $5.7 million in the same period last year.
Dependence on Payor Reimbursements
Future revenues depend on reimbursement rates from Medicare and commercial payors for procedures.
The numbers

What they reported.

What the company itself reported, taken out of the document.

What survived to operating profit
Of every $100 of revenue Cost of sales $23 Operating expenses $135 Left as operating profit $-58
Percentages of revenue, taken from the filing. Drawn this way because it holds whatever scale the company reports in.
Earnings per share
$-0.32
Gross margin
77.1%
Operating margin
-57.6%
Guidance

What they said about what is next.

Full-year revenue guidance raised to $72 million-$77 million from previous $70 million-$75 million.

How we read the filing overall

The filing reads better than the one before it.

One reading of one document. It is not advice, and it is not a forecast.
Earlier filings

What came before.

10-K · February 25, 2026
Carlsmed reported strong 2025 top-line momentum with revenue of $50.5 million (up 85.9% YoY) and Q4 revenue of $15.2 million (up 61.2% YoY), driven by expanding surgeon adoption and early cervical product launches.…

This is our reading of a public filing, not the filing. Read the original on SEC.gov · Educational only. Nothing here is investment advice.

Read the next one first.

We read every filing CARL makes the day it lands, and put it next to what the options market did about it. Members get both, and an alert when a filing arrives.

Cancel anytime · Month to month · Switch tiers whenever