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CARL

CarlsmedD
Nasdaq / Health Care Equipment & Services
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At close · 2026-11-09
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Related articleQuarter not tagged2026-11-05

Enovis (ENOV) Q3 Earnings and Revenues Beat Estimates

Zacks
Enovis (ENOV) came out with quarterly earnings of $0.88 per share, beating the Zacks Consensus Estimate of $0.76 per share. This compares to earnings of $0.75 per share a year ago. These figures are adjusted for non-recurring items. This quarterly report represents an earnings surprise of +15.79%. A quarter ago, it was expected that this manufacturing and engineering company would post earnings of $0.83 per share when it actually produced earnings of $0.9, delivering a surprise of +8.43%. Over the last four quarters, the company has surpassed consensus EPS estimates four times. Enovis, which belongs to the Zacks Medical Info Systems industry, posted revenues of $558.73 million for the quarter ended September 2026, surpassing the Zacks Consensus Estimate by 0.56%. This compares to year-ago revenues of $548.91 million. The company has topped consensus revenue estimates three times over the last four quarters. The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call. Enovis shares have lost about 8.3% since the beginning of the year versus the S&P 500's gain of 12.3%. While Enovis has underperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock? There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately. Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions. Ahead of this earnings release, the estimate revisions trend for Enovis was mixed. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #3 (Hold) for the stock. So, the shares are expected to perform in line with the market in the near future. You can see the complete list of today's Zacks #1 Rank (St…Read full document

Enovis (ENOV) came out with quarterly earnings of $0.88 per share, beating the Zacks Consensus Estimate of $0.76 per share. This compares to earnings of $0.75 per share a year ago. These figures are adjusted for non-recurring items. This quarterly report represents an earnings surprise of +15.79%. A quarter ago, it was expected that this manufacturing and engineering company would post earnings of $0.83 per share when it actually produced earnings of $0.9, delivering a surprise of +8.43%. Over the last four quarters, the company has surpassed consensus EPS estimates four times. Enovis, which belongs to the Zacks Medical Info Systems industry, posted revenues of $558.73 million for the quarter ended September 2026, surpassing the Zacks Consensus Estimate by 0.56%. This compares to year-ago revenues of $548.91 million. The company has topped consensus revenue estimates three times over the last four quarters. The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call. Enovis shares have lost about 8.3% since the beginning of the year versus the S&P 500's gain of 12.3%. While Enovis has underperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock? There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately. Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions. Ahead of this earnings release, the estimate revisions trend for Enovis was mixed. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #3 (Hold) for the stock. So, the shares are expected to perform in line with the market in the near future. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here. It will be interesting to see how estimates for the coming quarters and the current fiscal year change in the days ahead. The current consensus EPS estimate is $1.09 on $615.13 million in revenues for the coming quarter and $3.64 on $2.34 billion in revenues for the current fiscal year. Investors should be mindful of the fact that the outlook for the industry can have a material impact on the performance of the stock as well. In terms of the Zacks Industry Rank, Medical Info Systems is currently in the top 37% of the 250 plus Zacks industries. Our research shows that the top 50% of the Zacks-ranked industries outperform the bottom 50% by a factor of more than 2 to 1. Another stock from the same industry, Carlsmed, Inc. (CARL), has yet to report results for the quarter ended September 2026. The results are expected to be released on November 10. This company is expected to post quarterly loss of $0.42 per share in its upcoming report, which represents a year-over-year change of -5%. The consensus EPS estimate for the quarter has remained unchanged over the last 30 days. Carlsmed, Inc.'s revenues are expected to be $19.58 million, up 49.8% from the year-ago quarter. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Enovis Corporation (ENOV) : Free Stock Analysis Report Carlsmed, Inc. (CARL) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research

Related articleQuarter not tagged2026-10-27

Carlsmed, Inc. to Report Third Quarter 2026 Financial Results on November 10, 2026

GlobeNewswire

CARLSBAD, Calif., Oct. 27, 2026 (GLOBE NEWSWIRE) -- Carlsmed, Inc. (Nasdaq: CARL) ("Carlsmed" or the "Company"), a medical technology company pioneering AI-enabled personalized spine surgery solutions, today announced it will report its third quarter 2026 financial results after market close on Tuesday, November 10, 2026. Management will also host a conference call and concurrent webcast starting at 1:30 PM Pacific Time. A live webcast of the conference call will be available in the Events & Presentations section of the Company's investor website at investors.carlsmed.com. Participants may also join via telephone by registering here. A replay will be archived on the Company's website following completion of the call. About Carlsmed Carlsmed is a medical technology company pioneering AI-enabled personalized spine surgery solutions with a mission to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. Investor Relations [email protected] Media [email protected]

Related articleQuarter not tagged2026-09-28

Carlsmed Names Richard Heppenstall CFO; Company Reiterates Fiscal 2026 Revenue Guidance

MT Newswires

Carlsmed (CARL) said Monday that Richard Heppenstall has been appointed chief financial officer, effective immediately. Heppenstall succeeds Leo Greenstein, who has been CFO since 2023 and is leaving Carlsmed, the medical technology company said. Heppenstall was previously CFO of ZimVie from September 2021 until the company was acquired by ArchiMed in October, Carlsmed said. Carlsmed said it is reaffirming its fiscal 2026 revenue guidance of $74 million to $78 million. Analysts polled by FactSet are looking for $76.7 million.

Related articleQuarter not tagged2026-08-06

Carlsmed Inc (CARL) (Q2 2026) Earnings Call Highlights: Revenue Surges 57% to $18. ...

GuruFocus.com
This article first appeared on GuruFocus. Revenue: $18.9 million in Q2 2026, a 57% increase year-over-year from $12.1 million in Q2 2025. Gross Margin: 76.8% in Q2 2026, up 340 basis points from 73.4% in Q2 2025. Operating Expenses: $25.6 million in Q2 2026, compared to $15.4 million in Q2 2025. R&D Expenses: $6.0 million in Q2 2026, up from $4.2 million in Q2 2025. Sales and Marketing Expenses: $11.9 million in Q2 2026, compared to $7.9 million in Q2 2025. G&A Expenses: $7.6 million in Q2 2026, compared to $3.3 million in Q2 2025. Net Loss: GAAP net loss of $10.5 million in Q2 2026, compared to a net loss of $6.8 million in Q2 2025. Adjusted EBITDA: Negative $8.6 million in Q2 2026, compared to negative $6.2 million in Q2 2025. Cash and Investments: $89.3 million as of June 30, 2026. Cash Used in Operating Activities: $7.4 million in Q2 2026, compared to $8.2 million in Q2 2025. Revenue by Product Line: Lumbar fusion procedures represented approximately 90% of Q2 revenue; cervical fusion procedures represented approximately 10%. Full Year 2026 Revenue Guidance: Raised to between $74 million and $78 million, representing over 50% growth at the midpoint over full year 2025. Warning! GuruFocus has detected 2 Warning Sign with CARL. Is CARL fairly valued? Test your thesis with our free DCF calculator. Release Date: August 05, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Carlsmed Inc (NASDAQ:CARL) delivered strong Q2 2026 revenue of $18.9 million, a 57% year-over-year increase, driven by robust surgeon adoption and procedure volume growth. The company's surgeon user base grew by more than 60% year-over-year, indicating strong market traction and expanding adoption of the aprevo platform. CMS issued a favorable final rule creating three new MS-DRG codes for aprevo lumbar procedures, simplifying coding and enhancing hospital reimbursement, which is expected to expand access. Gross margins expanded by 340 basis points year-over-year to 76.8%, reflecting operational efficiencies and a capital-light, digital-first business model. The company is on track for multiple product launches in Q4 2026, including the aprevo lumbar bilateral system and CORA cervical plating system, which are expected to drive further growth. Carlsmed Inc (NASDAQ:CARL) raised its full-year 2026 revenue guidance to $74-$78 million, rep…Read full document

This article first appeared on GuruFocus. Revenue: $18.9 million in Q2 2026, a 57% increase year-over-year from $12.1 million in Q2 2025. Gross Margin: 76.8% in Q2 2026, up 340 basis points from 73.4% in Q2 2025. Operating Expenses: $25.6 million in Q2 2026, compared to $15.4 million in Q2 2025. R&D Expenses: $6.0 million in Q2 2026, up from $4.2 million in Q2 2025. Sales and Marketing Expenses: $11.9 million in Q2 2026, compared to $7.9 million in Q2 2025. G&A Expenses: $7.6 million in Q2 2026, compared to $3.3 million in Q2 2025. Net Loss: GAAP net loss of $10.5 million in Q2 2026, compared to a net loss of $6.8 million in Q2 2025. Adjusted EBITDA: Negative $8.6 million in Q2 2026, compared to negative $6.2 million in Q2 2025. Cash and Investments: $89.3 million as of June 30, 2026. Cash Used in Operating Activities: $7.4 million in Q2 2026, compared to $8.2 million in Q2 2025. Revenue by Product Line: Lumbar fusion procedures represented approximately 90% of Q2 revenue; cervical fusion procedures represented approximately 10%. Full Year 2026 Revenue Guidance: Raised to between $74 million and $78 million, representing over 50% growth at the midpoint over full year 2025. Warning! GuruFocus has detected 2 Warning Sign with CARL. Is CARL fairly valued? Test your thesis with our free DCF calculator. Release Date: August 05, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Carlsmed Inc (NASDAQ:CARL) delivered strong Q2 2026 revenue of $18.9 million, a 57% year-over-year increase, driven by robust surgeon adoption and procedure volume growth. The company's surgeon user base grew by more than 60% year-over-year, indicating strong market traction and expanding adoption of the aprevo platform. CMS issued a favorable final rule creating three new MS-DRG codes for aprevo lumbar procedures, simplifying coding and enhancing hospital reimbursement, which is expected to expand access. Gross margins expanded by 340 basis points year-over-year to 76.8%, reflecting operational efficiencies and a capital-light, digital-first business model. The company is on track for multiple product launches in Q4 2026, including the aprevo lumbar bilateral system and CORA cervical plating system, which are expected to drive further growth. Carlsmed Inc (NASDAQ:CARL) raised its full-year 2026 revenue guidance to $74-$78 million, representing over 50% growth at the midpoint, reflecting strong first-half performance and confidence in the second half. The company reported a GAAP net loss of $10.5 million in Q2 2026, wider than the $6.8 million loss in the prior year, indicating increasing losses despite revenue growth. Total operating expenses increased significantly to $25.6 million in Q2 2026, up from $15.4 million in Q2 2025, driven by higher R&D, sales and marketing, and G&A costs. Adjusted EBITDA remained negative at -$8.6 million in Q2 2026, compared to -$6.2 million in the prior year, showing continued cash burn. The company's guidance implies a deceleration in revenue growth in the second half of 2026, with a midpoint growth rate of 45% versus the 57% achieved in Q2, suggesting potential headwinds or conservatism. The new CMS reimbursement ruling is not expected to have a material impact on second-half 2026 revenue, with benefits likely deferred to 2027, limiting near-term upside. The company faces increasing competition as competitors plan to introduce their own custom implants, which could pressure market share and pricing in the future. Q: How should we think about the second-half revenue cadence, and is the potential for procedures to be pushed into Q4 due to the new DRG reimbursement structure factored into guidance?A: Mike Cordonnier, CEO, stated that while Q3 typically has some variability in procedure volume, the company does not anticipate the recent CMS ruling to have a material impact on the strong second-half business. He views the new ruling, along with product pipeline catalysts, as being highly beneficial for 2027 and beyond as the company scales and expands hospital access. Q: What is the potential impact of the new CMS IPPS final rule that creates three new MS-DRG codes for aprevo lumbar procedures?A: Mike Cordonnier, CEO, explained that the new reimbursement structure, effective October 1, 2026, simplifies coding and enhances reimbursement for hospitals. While the company is not baking incremental revenue from this ruling into 2026 guidance, it is expected to be a significant tailwind into 2027 by accelerating the hospital Value Analysis Committee (VAC) process, expanding coverage in new hospital systems, and deepening penetration within the existing surgeon base. Q: Can you provide an update on the expected revenue mix between lumbar and cervical procedures, and the pricing dynamics for the back half of the year?A: Leo Greensbank, CFO, stated that cervical volumes are expected to see an ongoing uptick, with cervical projected to be in the low double digits (11%-12%) of revenue in the second half. He noted that the average revenue per procedure (ARP) was roughly $29,000 for lumbar and $18,000 for cervical in Q2, and these levels are expected to persist. The upcoming launch of the CORA plating system is expected to provide a modest uplift in cervical ARP. Q: What is driving the strong growth in new surgeon adds, and how might the new reimbursement benefits impact this trend?A: Mike Cordonnier, CEO, attributed the strong quarter for new surgeon adds to the launch of the aprevo Cervical platform, which has attracted both existing lumbar users and surgeons new to aprevo. He noted an acceleration in new surgeon users adopting both lumbar and cervical procedures, which provides confidence in ongoing growth for both franchises. Q: What are the plans for the upcoming launch of the CORA Cervical Plating System, and what is the expected market impact?A: Mike Cordonnier, CEO, confirmed that the CORA cervical plating system is on track for a full commercial launch in Q4, following a successful limited market evaluation. The system allows for a fully personalized ACDF procedure and is expected to provide a slight uptick in average revenue per procedure for the cervical franchise. With approximately 60% of cervical ACDF procedures utilizing fixation plates, there is significant potential for adoption. Q: How should we think about the long-term gross margin trajectory?A: Leo Greensbank, CFO, stated that over the next 24 months, the company sees opportunities to reach the higher end of the 70s and potentially into the lower end of the 80s. He highlighted that the capital-light, digital-first model is highly scalable, and the focus remains on optimizing the digital production system to sustain gross margins in the high 70s while driving operating expense leverage. Q: How is the company thinking about growth in 2027 and beyondis it more of a pricing or volume opportunity?A: Mike Cordonnier, CEO, stated that the company anticipates maintaining its average revenue per procedure largely where it is and will focus on increasing partnerships with hospitals and accelerating access. Net-net, the growth strategy is driven by procedure volume growth rather than growth through ARP. Q: How is the company responding to increased competition in the custom implant space?A: Mike Cordonnier, CEO, expressed confidence in the company's growth profile as the only pure-play AI-enabled personalized surgery company. He views the increased investment in innovation from competitors as a positive tipping point for the industry, which is ripe for innovation, and believes Carlsmed is well-positioned to maintain its leadership. Q: Can you provide an update on the aprevo Cervical Effectiveness (ACE) registry and its expected timeline?A: Mike Cordonnier, CEO, announced that the company has received IRB approval for the ACE multi-center registry, which will collect real-world evidence from patients treated with aprevo Cervical at six-month, one-year, and two-year time points. Enrollment is on track to commence in Q4, with anticipation of more than a dozen sites and over 300 total patients enrolled. Q: What is the status of the aprevo bilateral system launch, and what is the market opportunity?A: Mike Cordonnier, CEO, stated that the limited market evaluation of the aprevo bilateral system has received strong early feedback from surgeons, highlighting the benefits of preoperative 3D digital planning and seamless integration into posterior bilateral techniques. The company remains on track for a Q4 commercial launch, addressing an estimated 30,000 procedures annually in the US. For the complete transcript of the earnings call, please refer to the full earnings call transcript.

Related articleQuarter not tagged2026-08-06

Carlsmed Q2 Earnings Call Highlights

MarketBeat
Interested in Carlsmed, Inc.? Here are five stocks we like better. Carlsmed’s Q2 revenue rose 57% year over year to $18.9 million, driven by higher adoption of its aprevo lumbar platform and newer cervical offering. The surgeon user base grew more than 60%. The company raised its 2026 revenue outlook to $74 million-$78 million, while noting that a new Medicare reimbursement structure is expected to support hospital access primarily from 2027 onward. Gross margin improved to 76.8%, but higher research, sales and administrative costs widened the GAAP net loss to $10.5 million. Carlsmed also expects fourth-quarter launches for its aprevo Bilateral system and Corra Cervical Plating System. Carlsmed (NASDAQ:CARL) reported second-quarter 2026 revenue of $18.9 million, up 57% from $12.1 million a year earlier, as growth in its aprevo lumbar platform and contributions from its newer cervical offering lifted procedure volumes. Chairman and Chief Executive Officer Mike Cordonnier said the company’s surgeon user base increased by more than 60% year over year. He attributed growth to new surgeon onboarding, increased utilization among existing customers and demand for aprevo in higher-acuity lumbar and cervical fusion procedures. → SpaceX’s First Earnings Report Could Decide Whether Shorts or Bulls Have Control “We had a really great quarter and really great year with new surgeon adds,” Cordonnier said during the company’s earnings call. He added that some surgeons were adopting both lumbar and cervical offerings for the first time, contributing to an acceleration in new users. Carlsmed raised its full-year 2026 revenue outlook to $74 million to $78 million. At the midpoint, the forecast represents growth of more than 50% over 2025, according to management. → 3 Drone Stocks That Should Soar After the Summer Slump Chief Financial Officer Leo Greenstein said the revised outlook reflects volume growth in the first half and expectations for continued growth in both aprevo lumbar and aprevo Cervical during the second half. The company said it was not incorporating incremental revenue from a recent Medicare reimbursement rule into its guidance, viewing that change primarily as a catalyst for 2027 and beyond. Greenstein described the outlook as prudent. While first-half revenue grew 57% year over year, the midpoint of the full-year guidance implies 45% growth in the second hal…Read full document

Interested in Carlsmed, Inc.? Here are five stocks we like better. Carlsmed’s Q2 revenue rose 57% year over year to $18.9 million, driven by higher adoption of its aprevo lumbar platform and newer cervical offering. The surgeon user base grew more than 60%. The company raised its 2026 revenue outlook to $74 million-$78 million, while noting that a new Medicare reimbursement structure is expected to support hospital access primarily from 2027 onward. Gross margin improved to 76.8%, but higher research, sales and administrative costs widened the GAAP net loss to $10.5 million. Carlsmed also expects fourth-quarter launches for its aprevo Bilateral system and Corra Cervical Plating System. Carlsmed (NASDAQ:CARL) reported second-quarter 2026 revenue of $18.9 million, up 57% from $12.1 million a year earlier, as growth in its aprevo lumbar platform and contributions from its newer cervical offering lifted procedure volumes. Chairman and Chief Executive Officer Mike Cordonnier said the company’s surgeon user base increased by more than 60% year over year. He attributed growth to new surgeon onboarding, increased utilization among existing customers and demand for aprevo in higher-acuity lumbar and cervical fusion procedures. → SpaceX’s First Earnings Report Could Decide Whether Shorts or Bulls Have Control “We had a really great quarter and really great year with new surgeon adds,” Cordonnier said during the company’s earnings call. He added that some surgeons were adopting both lumbar and cervical offerings for the first time, contributing to an acceleration in new users. Carlsmed raised its full-year 2026 revenue outlook to $74 million to $78 million. At the midpoint, the forecast represents growth of more than 50% over 2025, according to management. → 3 Drone Stocks That Should Soar After the Summer Slump Chief Financial Officer Leo Greenstein said the revised outlook reflects volume growth in the first half and expectations for continued growth in both aprevo lumbar and aprevo Cervical during the second half. The company said it was not incorporating incremental revenue from a recent Medicare reimbursement rule into its guidance, viewing that change primarily as a catalyst for 2027 and beyond. Greenstein described the outlook as prudent. While first-half revenue grew 57% year over year, the midpoint of the full-year guidance implies 45% growth in the second half compared with the same period of 2025, he said. → The Bitcoin Comeback May Already Be Underway—2 ETFs for Exposure Management highlighted a final rule issued by the Centers for Medicare & Medicaid Services on July 31. The FY 2027 Inpatient Prospective Payment System rule creates three new Medicare Severity Diagnosis-Related Group, or MS-DRG, codes for aprevo lumbar procedures—523, 524 and 525—replacing 11 previously applicable codes. The reimbursement structure becomes effective Oct. 1, 2026. Cordonnier said the changes simplify coding and enhance hospital reimbursement for aprevo lumbar procedures, which the company believes could broaden hospital and patient access. However, management said it does not expect the rule to have a material impact on second-half 2026 results. Cordonnier said the company sees the policy as beneficial for hospital partnerships and procedure access over the long term, while Greenstein said hospitals will need time to absorb the new rule and complete coverage processes. Carlsmed expects growth from the opportunity to be driven mainly by procedure volume rather than changes in average revenue per procedure. Greenstein said lumbar average revenue per procedure was about $29,000 in the second quarter, while cervical average revenue per procedure was about $18,000, and the company expects those levels to persist in coming quarters. Second-quarter gross margin expanded 340 basis points year over year to 76.8%, from 73.4%. Greenstein said lower contract-manufacturer costs per unit and efficiency improvements in the company’s digital production system more than offset product-mix effects. Carlsmed expects to sustain gross margins in the high 70% range during the second half. Looking further ahead, Greenstein said the company sees an opportunity to reach the higher end of the 70% range and potentially the low 80% range over the next 24 months through further production-system improvements. Operating expenses rose to $25.6 million from $15.4 million a year earlier. Research and development spending increased to $6 million, driven primarily by personnel costs related to product-development priorities and artificial-intelligence initiatives. Sales and marketing expense rose to $11.9 million as the company added sales personnel, expanded targeted marketing and paid higher variable commissions tied to revenue growth. General and administrative expense increased to $7.6 million from $3.3 million, reflecting personnel additions, professional services, legal fees and compliance costs. The company reported a GAAP net loss of $10.5 million, compared with a $6.8 million loss in the prior-year quarter. Adjusted EBITDA was negative $8.6 million, compared with negative $6.2 million a year earlier. As of June 30, Carlsmed had $89.3 million in cash and investments and total liabilities of $34 million. Its liabilities included $15.6 million of outstanding principal under a $50 million debt facility maturing in October 2030. Cash used in operating activities was $7.4 million during the quarter, compared with $8.2 million a year earlier. Lumbar procedures accounted for about 90% of second-quarter revenue, while cervical procedures represented about 10%. Management expects cervical revenue to reach roughly 11% to 12% of revenue in the second half as adoption continues to build. The company remains on track for a fourth-quarter commercial launch of its aprevo Bilateral system, a lumbar offering being evaluated in a limited market release. Cordonnier said early surgeon feedback has pointed to the system’s preoperative 3D planning and visualization capabilities, as well as integration with posterior bilateral surgical techniques. Carlsmed also plans a fourth-quarter commercial launch for its Corra Cervical Plating System. The company is currently conducting a limited market evaluation and expects the full launch to coincide with a fall medical society meeting. Cordonnier said Corra could provide a modest increase in cervical average revenue per procedure. Separately, Carlsmed received institutional review board approval for its aprevo Cervical Effectiveness, or ACE, multicenter registry. The company expects enrollment to begin in the fourth quarter, with more than a dozen sites and over 300 patients anticipated. The registry is designed to collect real-world evidence at six-month, one-year and two-year intervals. Cordonnier also cited a retrospective cohort study published in the Global Spine Journal that found a 74% reduction in reoperations among adult spinal deformity patients treated with aprevo personalized lumbar implants. We are a commercial-stage medical technology company pioneering AI-enabled personalized spine surgery solutions with a mission to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. We are focused on becoming the standard of care for spine fusion surgery. The aprevo Technology Platform consists of artificial intelligence (“AI”)-enabled software solutions, and interbody implants that we custom design for each patient's unique pathology and vertebral bone topography, and single-use surgical instruments (the “aprevo Technology Platform”). This instant news alert was generated by narrative science technology and financial data from MarketBeat in order to provide readers with the fastest reporting and unbiased coverage. Please send any questions or comments about this story to [email protected]. The article "Carlsmed Q2 Earnings Call Highlights" was originally published by MarketBeat. View MarketBeat's top stocks for August 2026.

Related articleQuarter not tagged2026-08-05

Carlsmed® Reports Second Quarter 2026 Financial Results and Raises Full-Year Guidance

GlobeNewswire
Second quarter 2026 revenue of $18.9 million, representing 57% growth year-over-year Full year 2026 revenue guidance raised to $74 million to $78 million CARLSBAD, Calif., Aug. 05, 2026 (GLOBE NEWSWIRE) -- Carlsmed, Inc. (Nasdaq: CARL) (“Carlsmed” or the “Company”), a medical technology company pioneering AI-enabled personalized spine surgery solutions, today reported financial results for the second quarter ended June 30, 2026. “Our second quarter 2026 results reflect the growing momentum of aprevo® procedures and further progress on our path to profitability,” said Mike Cordonnier, Chairman and Chief Executive Officer. "We delivered 57% revenue growth year-over-year, expanded gross margins by 340 basis points, and grew our trained surgeon user base by more than 60% over the prior year. We continue to see strong volume growth across lumbar and cervical aprevo® procedures, with continued advancements in our proprietary digital production system enabling scalability ahead of strong market demand. We believe the recent CMS ruling – which takes effect on October 1, 2026, and provides new and enhanced hospital reimbursement for the aprevo® lumbar procedure – positions us well for ongoing growth in the years to come." Recent Business Highlights Surgeon adoption grew significantly, with total trained surgeon users up over 60% year-over-year, led by strong engagement from early-career and post-fellowship surgeons CMS Inpatient Prospective Payment System (IPPS) rule for fiscal year 2027 recently finalized to include three new MS-DRG codes and favorable reimbursement for inpatient aprevo® lumbar procedures, a significant milestone towards expanding access for Medicare patients aprevo® cervical completed second full quarter of commercialization, now representing approximately 10% of quarterly revenue, with surgeon training on the platform expanding significantly since last quarter Raised full-year 2026 revenue guidance to a range of $74–$78 million, over 50% growth at the midpoint versus full-year 2025, reflecting strong volume trends and a robust pipeline Second Quarter 2026 Financial Results Revenue was $18.9 million for the second quarter of 2026, a 57% increase compared to $12.1 million in the second quarter of 2025. Gross profit for the second quarter of 2026 was $14.5 million compared to $8.9 million for the second quarter of 2025. Gross margin was 76.8% for the…Read full document

Second quarter 2026 revenue of $18.9 million, representing 57% growth year-over-year Full year 2026 revenue guidance raised to $74 million to $78 million CARLSBAD, Calif., Aug. 05, 2026 (GLOBE NEWSWIRE) -- Carlsmed, Inc. (Nasdaq: CARL) (“Carlsmed” or the “Company”), a medical technology company pioneering AI-enabled personalized spine surgery solutions, today reported financial results for the second quarter ended June 30, 2026. “Our second quarter 2026 results reflect the growing momentum of aprevo® procedures and further progress on our path to profitability,” said Mike Cordonnier, Chairman and Chief Executive Officer. "We delivered 57% revenue growth year-over-year, expanded gross margins by 340 basis points, and grew our trained surgeon user base by more than 60% over the prior year. We continue to see strong volume growth across lumbar and cervical aprevo® procedures, with continued advancements in our proprietary digital production system enabling scalability ahead of strong market demand. We believe the recent CMS ruling – which takes effect on October 1, 2026, and provides new and enhanced hospital reimbursement for the aprevo® lumbar procedure – positions us well for ongoing growth in the years to come." Recent Business Highlights Surgeon adoption grew significantly, with total trained surgeon users up over 60% year-over-year, led by strong engagement from early-career and post-fellowship surgeons CMS Inpatient Prospective Payment System (IPPS) rule for fiscal year 2027 recently finalized to include three new MS-DRG codes and favorable reimbursement for inpatient aprevo® lumbar procedures, a significant milestone towards expanding access for Medicare patients aprevo® cervical completed second full quarter of commercialization, now representing approximately 10% of quarterly revenue, with surgeon training on the platform expanding significantly since last quarter Raised full-year 2026 revenue guidance to a range of $74–$78 million, over 50% growth at the midpoint versus full-year 2025, reflecting strong volume trends and a robust pipeline Second Quarter 2026 Financial Results Revenue was $18.9 million for the second quarter of 2026, a 57% increase compared to $12.1 million in the second quarter of 2025. Gross profit for the second quarter of 2026 was $14.5 million compared to $8.9 million for the second quarter of 2025. Gross margin was 76.8% for the second quarter of 2026, compared with 73.4% in the second quarter of 2025. Operating expenses were $25.6 million for the second quarter of 2026, compared with $15.4 million for the second quarter of 2025, which consisted of: Net loss was ($10.5) million for the second quarter of 2026, compared to a ($6.8) million net loss for the second quarter of 2025. Adjusted EBITDA was ($8.6) million for the second quarter of 2026, compared to ($6.2) million for the second quarter of 2025. Cash and cash equivalents, restricted cash, short-term investments, and marketable securities were $89.3 million as of June 30, 2026. 2026 Financial Outlook Revenue for the full year 2026 is expected to be in the range of $74 to $78 million, representing growth of over 50% at the midpoint of the range over 2025. This compares to prior guidance of $72 to $77 million. Webcast & Conference Call Details Carlsmed will host a conference call and concurrent webcast today at 4:30 pm Eastern Time (1:30 pm Pacific Time), to review the Company’s performance. A live webcast of the conference call will be available in the Events & Presentations section of the Company’s investor website at investors.carlsmed.com. A replay will be archived on the Company’s website following completion of the call. Non-GAAP Financial Measures This press release contains certain financial information that is not presented in conformity with U.S. generally accepted accounting principles (“GAAP”), including adjusted EBITDA. The non-GAAP financial measures are provided as supplemental information to Carlsmed’s financial measures presented in this press release that are calculated and presented in accordance with GAAP. The Company calculates adjusted EBITDA as net income (loss), as adjusted to exclude, as applicable, (i) net interest income (expense), (ii) income tax expense (benefit), (iii) depreciation expense from property and equipment (iv) amortization expense from long-lived assets, (iv) stock-based compensation expense and (v) change in fair value of warrant liabilities. This non-GAAP measure is presented because management believes it allows investors to view the Company’s performance in a manner similar to the method used by management to evaluate financial performance for both strategic and annual operating planning. Management believes that to properly understand short-term and long-term financial trends, it is helpful for investors to understand the impact of the items excluded from the calculation of adjusted EBITDA, in addition to considering the Company’s GAAP financial measures. The excluded items vary in frequency and/or impact on our results of operations and management believes that the excluded items are not reflective of the Company’s ongoing core business operations and financial condition. Excluding such items allows investors and analysts to compare our operating performance to other companies in our industry and to compare the Company’s period-over-period results. The non-GAAP financial measures used by Carlsmed may not be the same or calculated in the same manner as those used and calculated by other companies. Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for Carlsmed’s financial results prepared and reported in accordance with GAAP. This non-GAAP measure should not be construed as an inference that the Company’s future results will be unaffected by unusual or non-recurring items. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financial measures included in this press release, and not to rely on any single financial measure to evaluate our business. A reconciliation of adjusted EBITDA reported in this press release to the most comparable GAAP measure for the respective periods appears in the table captioned “Reconciliation of GAAP Net Income (Loss) to Adjusted EBITDA” later in this release. Within the accompanying financial tables presented, certain columns and rows may not add due to the use of rounded numbers. About Carlsmed Carlsmed is a medical technology company pioneering AI-enabled personalized spine surgery solutions with a mission to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. Forward Looking Statements Any statements in this press release about future expectations, plans and prospects, including statements about Carlsmed’s growth prospects and future performance, the ability of Carlsmed to achieve profitability in the near term or at all, the scalability of Carlsmed’s business, the level of demand for Carlsmed’s products, the impact of the recent CMS ruling on Carlsmed’s business , the revenue ranges presented in our 2026 Financial Outlook, and other statements containing the words “anticipate,” “believe,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “target,” “potential,” “likely,” “will,” “would,” “could,” “should,” “continue,” and similar expressions, constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including such important factors as are set forth under the caption “Risk Factors” in the Carlsmed’s Annual Report on Form 10-K on file with the U.S. Securities and Exchange Commission. The forward-looking statements included in this press release represent Carlsmed’s views as of the date of this press release. Carlsmed anticipates that subsequent events and developments will cause its views to change. However, while Carlsmed may elect to update these forward-looking statements at some point in the future, it specifically disclaims any obligation to do so. These forward-looking statements should not be relied upon as representing Carlsmed’s views as of any date subsequent to the date of this press release. Investor Relations [email protected] Media [email protected] **Change not meaningful

TranscriptFY2026 Q22026-08-05

FY2026 Q2 earnings call transcript

Earnings source - 54 paragraphs
Operator

Ladies and gentlemen, thank you for standing by, and welcome to the Carlsmed Second Quarter 2026 Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question and answer session. I would now like to turn the conference over to your first speaker today, Stephanie Zhadkevich, Investor Relations. Please go ahead, Stephanie.

Stephanie Zhadkevich

Thank you, operator. Welcome to Carlsmed's second quarter 2026 earnings call. Joining me today are Mike Cordonnier, Chairman and Chief Executive Officer, and Leo Greenstein, Chief Financial Officer. Before we begin, I would like to caution that comments made during this call will include forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements made on this call that do not relate to matters of historical fact should be considered forward-looking statements, including statements regarding the market in which Carlsmed operates, trends, expectations, and demand for Carlsmed's products, expectations with respect to reimbursement, statements about the company's clinical data, surgeon adoption and utilization, and Carlsmed's expected financial performance, growth prospects, and position in the market. Any forward-looking statements made during this call, including projections for future performance, is based on management's expectations as of today.

Stephanie Zhadkevich

Carlsmed undertakes no obligation to update these statements except as required by applicable law. These statements are neither promises nor guarantees and are subject to known and unknown risks and uncertainties that could cause actual results, performance, or achievements to differ materially from those expressed or implied by the forward-looking statements. For more detailed information, please review the cautionary notes on the earnings materials accompanying today's presentation, as well as Carlsmed's filings with the SEC, particularly the risk factors described in Carlsmed's annual report on Form 10-K for the year ended December 31st, 2025. I encourage you to review all Carlsmed's filings with the SEC concerning these and other matters. These filings, along with Carlsmed's press release for the second quarter 2026 results, are available on Carlsmed's website at www.carlsmed.com under the Investors section and include additional information about Carlsmed's financial results.

Stephanie Zhadkevich

Additionally, during today's call, management will discuss certain non-GAAP financial measures, including Adjusted EBITDA. A reconciliation of these non-GAAP financial measures to the most directly comparable GAAP financial measures is included in today's earnings press release. A recording of today's call will be available on Carlsmed's website by 5:00 P.M. Pacific Time today. Now, I would like to turn the call over to Mike to go over Carlsmed's business highlights.

Mike Cordonnier

Thank you, Stephanie, and welcome everyone. At Carlsmed, our mission is to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. We accomplish this through our proprietary data and AI-enabled surgeon-in-the-loop personalized surgery platform. The published clinical evidence behind aprevo, which demonstrates meaningful reductions in reoperations, continues to drive strong surgeon adoption, procedure volume, and revenue growth, while our inventory-light, digital-first model lets us scale that growth efficiently. We believe Carlsmed represents the future standard in medical technology, one that is better for patients, surgeons, hospitals, and payers. In the second quarter, we delivered strong revenue of $18.9 million, representing 57% growth over the prior year, driven by rapidly onboarding new surgeons, deepening utilization within our existing customer base, and building upon our recent launch of aprevo Cervical.

Mike Cordonnier

In the second quarter, our surgeon user base grew by more than 60% year-over-year compared to the second quarter of 2025. We saw an increase in new surgeon users and utilization, driven especially by demand for aprevo within higher acuity procedures that are predominantly inpatient procedures for lumbar fusion and cervical fusion. Reflective of this strong growth in the first half of 2026 and our expectations for the second half of the year, we are raising our full year 2026 revenue range to between $74 million and $78 million revenue, representing over 50% growth at the midpoint over full year 2025. In a meaningful recent development, CMS issued the FY 2027 Inpatient Prospective Payment System, or IPPS, final rule on July 31, 2026.

Mike Cordonnier

The final rule creates three new MS-DRG codes applicable to aprevo lumbar procedures, 523, 524, and 525, replacing the 11 MS-DRG codes that are currently applicable to aprevo lumbar procedures. This new reimbursement structure, which will go into effect on October 1, 2026, simplifies coding and enhances reimbursement for hospitals for the aprevo lumbar procedure. We appreciate CMS's continued partnership to implement this important policy, which we believe will expand hospital and patient access to the aprevo procedure. We are committed to training the next generation of surgeons through expansion of our world-class medical education program for 3D preoperative planning. Our residents and fellows program continue to expand as we partner with leading teaching institutions to provide hands-on experience with the aprevo. We have seen strong traction from early and mid-career surgeons who are eager to adopt 3D planning and personalized surgery in their practice to drive predictable outcomes.

Mike Cordonnier

Our marquee medical education program, the aprevo Power Forum, will take place this weekend, and we anticipate more than double the surgeon attendees compared to our 2025 program. Our faculty will be providing the latest data and advanced preoperative planning techniques for our aprevo Cervical and lumbar procedures, optimized for minimally invasive or open surgical techniques for patients with complex deformity and degenerative disc disease conditions. Operationally, we continue to demonstrate the efficiencies of our capital-light, digital-first business model. Our proprietary digital platform enables us to provide patient-specific and surgeon-specific preoperative 3D plans, personalized implants, and single-use instruments directly to the hospital. Without the significant capital investments required by traditional med tech companies like surgical trays and stock implants, we can focus on patient-centric innovation in partnership with surgeons and hospitals and execute on our mission to improve patient outcomes.

Mike Cordonnier

With our deep focus on technology and operational excellence, we can consistently deliver aprevo surgical kits to the hospital in about a week after surgeon approval of the plan. With our continued advancements in technology, process, and supply chain, we have achieved approximately 340 basis points of gross margin expansion year-over-year. In the second quarter, lumbar fusion procedures represented approximately 90% of our revenue, and cervical fusion procedures represented approximately 10%. While we continue to grow the lumbar franchise rapidly, we believe that we are still in the early innings with an estimated 445,000 lumbar fusion procedures performed every year in the U.S. Our growing base of surgeon users and hospital customers continue to gain experience with the aprevo platform and have responded very positively to the growing body of clinical and economic benefits, showing reduced reoperation rates when using aprevo.

Mike Cordonnier

Most recently, peer-reviewed data from a retrospective cohort study published in the "Global Spine Journal" showed a 74% reduction in reoperations in adult spinal deformity patients treated with aprevo personalized lumbar implants. This represents one of the most significant clinically supportive advancements in patient outcomes in lumbar fusion technology in the past 25 years. We continue to expand the lumbar franchise with the limited market evaluation of the aprevo Bilateral system. Early feedback from surgeon users suggests that this procedure can achieve targeted disc and regional alignment with double the graft area contact. Adoption has been strong so far, with surgeon users highlighting the benefits of preoperative 3D digital planning and visualization and the seamless integration into their posterior bilateral intraoperative technique. This expansion of the lumbar procedure addresses an estimated 30,000 procedures in the U.S. annually. We remain on track for a Q4 commercial launch.

Mike Cordonnier

In our aprevo Cervical business, we're excited to have completed our second full quarter of commercialization to excellent reception in the surgeon community from existing aprevo surgeon users and those new to aprevo. With an estimated 370,000 cervical fusion procedures performed annually in the U.S., we're already driving impressive momentum of aprevo Cervical within this market as a further extension of the aprevo platform. Early feedback from surgeons indicates that aprevo Cervical procedure provides precise implant fit with maximized end plate coverage, which we believe has the potential to benefit patients with low vertebral bone density, such as osteoporosis and osteopenia, conditions that impact nearly 80% of patients. With our commitment to ongoing clinical data collection and publications, we're pleased to announce that we have recently received IRB approval for our aprevo Cervical Effectiveness, or ACE, Multicenter Registry.

Mike Cordonnier

Our multicenter ACE registry will collect real-world evidence from patients treated with aprevo Cervical at six months, one year, and two-year time points. We're on track to commence enrollment in Q4 and anticipate more than a dozen sites with 300+ total patients enrolled. To expand our cervical franchise, we're progressing on track for our Corra Cervical Plating System commercial launch, which is expected to occur by the end of this year. The Corra cervical plating platform is engineered to work seamlessly with the aprevo 3D planning and 3D interbody fusion implants to maintain a personalized, precise cervical alignment through the fusion process. With the full launch of Corra personalized ACDF plates, surgeons will have the flexibility to perform a personalized cervical procedure with standalone fixation, personalized multilevel fixation, and segmental fixation.

Mike Cordonnier

With approximately 60% of cervical ACDF procedures in the U.S. utilizing fixation plates, there's a significant potential for strong adoption of the aprevo plus Corra Personalized Cervical Procedure. Early feedback from our limited market evaluation suggests that Corra Personalized Plating System may better preserve aprevo planned alignment than off-the-shelf stock cervical plates. We remain on track for the launch of the Corra Cervical Personalized Plating System in Q4. Carlsmed's long-term strategy remains focused on the same pillars that have driven durable, high-quality growth to date. Patient-centric innovation remains at the core of our platform. We continue to advance our proprietary personalized surgery technology through AI-enabled surgeon in the loop 3D surgical planning, seamless workflow integration, and devices specifically built for each patient and surgeon. Our clinical data collection and world-class medical education continue to drive the engine behind everything we do.

Mike Cordonnier

On the commercial side, we're relentlessly executing new surgeon onboarding, deepening utilization among existing surgeons, and broadening access across hospital systems. Demand for aprevo personalized surgery is growing fast, so we're continuing to expand our medical education programs, including new courses for residents and fellows in leading academic institutions, as well as advanced courses for key opinion leaders. Winning over early and mid-career surgeons, the ones actively looking to modernize their practice with digital planning, remains central to our long-term growth story. We continue to educate and grow our partner network to expand access to hospitals and surgeons nationwide. Central to these activities is strong clinical evidence generation. Everything we do is grounded in data because credibility with surgeons, health systems, payers, and patients is earned with proof. We believe our AI-enabled personalized surgery platform has the potential to become the new standard of care for spine fusion and beyond.

Mike Cordonnier

I'm enthusiastic about our progress towards making aprevo personalized surgery the new standard of care as we work tirelessly to expand access to hospitals, surgeons, and most importantly, patients in need of this procedure at a rapid pace. With that, I'll turn it over to Leo, who will review our financial performance.

Leo Greenstein

Thank you, Mike, and good afternoon, everyone. Revenue for the second quarter of 2026 was $18.9 million compared to $12.1 million in Q2 2025, representing 57% growth year-over-year. This growth was driven by continued market share gains of the aprevo lumbar platform with our expanding surgeon user base, as well as strong contributions from our newly launched aprevo Cervical platform. Average revenue per procedure in lumbar and cervical has remained consistent over the past few quarters, so unit volume growth continues to drive results. Gross margins were 76.8% in the second quarter of 2026, compared to 73.4% in the second quarter of 2025. Gross margin expanded 340 basis points year-over-year as decreased contract manufacturer costs on a per unit basis and continued efficiency improvements in our aprevo digital production system more than offset the impact of product sales mix.

Leo Greenstein

Total operating expenses were $25.6 million in the second quarter of 2026, compared to $15.4 million in the second quarter of 2025. R&D expenses were $6 million this quarter, compared with $4.2 million in Q2 2025. This increase was primarily due to higher personnel costs for the advancement of our patient-centric product development priorities and AI initiatives within the aprevo platform. Sales and marketing expenses were $11.9 million this quarter, compared with $7.9 million in Q2 2025. This was driven by increased sales headcount to drive our commercial execution strategy, increased targeted marketing investments for the ongoing expansion of our surgeon user base, and variable commissions to our sales team and independent sales agents as part of our revenue growth. General and administrative expenses were $7.6 million this quarter, compared with $3.3 million in Q2 2025.

Leo Greenstein

The increase was primarily driven by personnel additions and professional services costs and legal fees to support corporate operations, company compliance programs, and intellectual property and other ordinary course legal matters. Our GAAP net loss was $10.5 million this quarter, compared to net loss of $6.8 million in the second quarter of 2025. Adjusted EBITDA was -$8.6 million this quarter, compared to -$6.2 million during the second quarter of 2025. Over the coming quarters, we anticipate that our capital-light, digital-first business model will enable contribution margin dollars to grow meaningfully faster than our fixed cost base. Our modeled ramp of revenue growth, gross margins in the high 70s, and operating expense leverage underpins future improvement in Adjusted EBITDA and provides a visible pathway towards cash flow break even with our current capital resources.

Leo Greenstein

Turning to our balance sheet, as of June 30th, 2026, cash and investments totaled $89.3 million. Total liabilities were $34 million, with $15.6 million relating to outstanding principal under our $50 million debt facility that matures in October 2030 and provides non-dilutive standby capital to support general corporate flexibility. Our cash used in operating activities was $7.4 million during the quarter, compared to $8.2 million in the second quarter of 2025. Unlike traditional medtech businesses that require heavy capital investments in stock, implant, and instrument sets, our business can scale efficiently and effectively without it. As an AI-enabled personalized surgery company, the focus of our capital deployment is for the advancements in our aprevo platform technology and continued product innovation, revenue ramp initiatives, and digital production processes that will support highly efficient business scale.

Leo Greenstein

Turning to guidance, we are raising our full year 2026 revenue range to between $74 million and $78 million revenue, representing over 50% growth at the midpoint over full year 2025. This is reflective of the strong volume growth that we've seen in the first half of 2026 and our expectations for the second half of the year for both aprevo lumbar and aprevo Cervical. Our expected catalysts in the second half include the FY 2027 IPPS final rule going into effect on October 1st, an anticipated uplift for our overall aprevo lumbar volumes and the planned fourth quarter commercial launches of our aprevo bi-lateral system and Corra Cervical Plating System.

Leo Greenstein

During the second half of 2026, we anticipate sustaining gross margins in the high 70s with durable efficiencies in our digital production system from earlier investments, as well as fixed cost absorption over an increasing production base with our sales growth. With that, I'll turn the call over to the operator for questions.

Operator

Thank you. At this time, we will conduct the question and answer session. As a reminder, to ask a question, you will need to press star one one on your telephone and wait for your name to be announced. To withdraw your question, please press star one one again. Please stand by while we compile the Q&A roster. Please note we're allowing one question and one follow-up. Our first question comes from Matthew O'Brien at Piper Sandler.

Matthew O'Brien

Great. Thanks for taking the questions. Maybe Leo, just talking about the guide in the back half, it's good to see you bumping it up by more than a beat here in Q2, but it does still imply a little bit of a decel second half versus first half. I'm just wondering, is there anything that you're building in there? I don't know if just there's a little bit of concern that maybe surgical volumes could slow in the back half just with some of this ACA and Medicaid discussion, or if there's anything specific to call out there, or if you're just trying to be conservative as a newer public company. I do have a follow-up.

Leo Greenstein

Hey, Matt. Thanks for the question. We remain highly confident in our growth, both in the near and long term. As you suggested, this does reflect our continued approach of providing prudent guidance. As Mike pointed out, we had 57% revenue growth in the first half of 2026 relative to the first half of 2025. The midpoint of our guidance implies a 45% level of growth over the second half of 2025. We remain increasingly bullish on the prospects of our business and the catalysts that we see here coming up in the second half of 2026 that will drive continued growth and adoption of the aprevo platform in 2027.

Matthew O'Brien

Got it. Appreciate that. Mike, I could ask a million questions, reimbursement, the new products, et cetera, but the new surgeon number, obviously we don't get it anymore, but it looks like it's pretty close to an all-time high for Carlsmed, and I'm just curious if you're seeing any because of the cervical platform. What potentially could happen to that interest as you layer in these reimbursement benefits? Thank you.

Mike Cordonnier

Yeah. Thanks, Matt. We had a really great quarter and really great year with new surgeon adds. As mentioned, we developed a cervical platform really on the heels of strong interest from existing aprevo lumbar users. What we've seen Trend, and year-to-date as well as played out in this quarter, is we're getting new surgeon users that are not just adopting lumbar but also adopting cervical for the first time. We have seen an acceleration in new surgeon users, and that gives us a lot of confidence in our ongoing growth as we grow both the lumbar franchise and the cervical franchise.

Matthew O'Brien

Got it. Thank you.

Mike Cordonnier

Thanks, Matt.

Operator

Our next question comes from Travis Steed at Bank of America.

Speaker 5

Hi, this is Aidan on for Travis. I know you mentioned, the DRG being a catalyst in the second half, I guess to zoom in, how much are you baking in as a benefit, and how should we think about the cadence in the second half? Is there potential that they push procedures in the 4Q, just waiting for that DRG bump? What do you think about that, and what do you think you're going to see in the second half?

Mike Cordonnier

Aidan, thanks for the question. As we think about this, we do see this new CMS ruling as materially beneficial to hospitals for the long term. As you know, Q3 tends to be a bit of variability in procedure volume. While we don't anticipate this recent ruling from Medicare to have any material impact on our strong business in the second half of the year. We see that this new ruling as well as the catalyst in the product pipeline that we have, being really beneficial in 2027 and beyond as we continue to scale our business, as we continue to increase our hospital access to this procedure.

Speaker 5

Got it. I guess when we think about 2027 beyond, when you approach this in terms of driving growth, is this more of a pricing opportunity, a volume opportunity, or are you going to approach both of those?

Mike Cordonnier

Yeah. We anticipate maintaining our average revenue per procedure largely where it's at, and really looking at this opportunity to increase our partnerships with hospitals and accelerating access to the hospitals. Net-net, procedure volume growth, versus growth through ARP.

Speaker 5

Great. Thank you.

Operator

Our next question comes from Richard Newitter at Truist Securities.

Richard Newitter

Hi. Thanks for taking the question. Maybe just to follow up on the cadence question. I'm sorry if you may have mentioned this and I missed it. The consensus as it was standing today in 3Q heading in would imply a sequential down tick versus 2Q. I guess you didn't see that last year. In fact, it stepped up. Is that the right way to think about it? With respect to what may or may not be reflected in terms of any kind of volume pickup or any kind of tailwind later this year from the reimbursement, how should we think of the top end of the range? Does the top end of your guidance range assume anything there, or would that be in addition to that? Maybe just talk to us about what would get you to the top end of the range. Thanks.

Leo Greenstein

Hey, Rich. This is Leo. When we think about guidance, as I covered, we want to make sure that we have the ability here to continue to achieve the parameters that we've set out and certainly to overachieve in terms of hitting the higher end of that guidance. The model guidance that most recently that we've provided here is reflective of current state. We are not necessarily baking in incremental revenue from the IPPS ruling that we see largely being a tailwind into 2027 as our hospital customers absorb this latest rule. It eventually will accelerate as we see at the VAC committee process to give us expanded coverage within new hospital systems and certainly deepened penetration within our existing surgeon base.

Richard Newitter

That's helpful. Just on gross margin, you've been beating our gross margin assumptions pretty consistently and by a decent margin, pretty much since you've been public. I guess, where could we be headed if we just think a year or two out? Is this something that could be approaching 80% as we move closer to 2028?

Leo Greenstein

Yeah. As you look out maybe over the next 24 months, we do see opportunities that we can get potentially into the higher end of the 70s and even into the lower end of the 80s. We'll certainly make ongoing priority thoughtful investments in how we further optimize our digital production system, as we did a couple of quarters ago that have proven out to be sustainable with regards to keeping our gross margin level, in the high 70s. Q1 of this quarter or this year and Q2 both at the 77% level, even with the product mix including cervical. We continue to build from that as we further enhance the DPS system. I think we'll have ongoing opportunities into the future to further tick up.

Leo Greenstein

Certainly at the high 70s, we have a very scalable model upon which to accelerate our growth and ultimately to hit that Adjusted EBITDA breakeven mark as we think about, more importantly, the operating expenses continuing to decline as a % of revenue.

Richard Newitter

Thank you.

Operator

Our next question comes from Ryan Zimmerman at U.S. Bancorp.

Speaker 7

Hi, this is Izzy on for Ryan. Thanks for taking the question. I just wanted to start with the upcoming launch of Corra, I was curious what plans have been in place in terms of how you're planning to roll it out, whether we should expect to see broad availability or if this will be more of a targeted initial rollout to a smaller subset of users.

Mike Cordonnier

Yeah, great question. We're really excited about the Corra Cervical launch. As previously stated, we're in the process of a limited market evaluation. We've got great feedback, in the fourth quarter, we'll be moving towards a full commercial launch in conjunction with one of the fall society meetings, really looking forward to that. As we've talked about Corra before, this gives us the ability to have a fully personalized ACDF that can provide enhanced clinical outcomes. It also has the benefit of giving us a slight uptick in our ARP that will be meaningfully beneficial to us on the cervical franchise.

Speaker 7

Got it. Thank you. We've heard from some competitors about plans to introduce their own custom implants. I was curious what your outlook on the market is as we start to see more competition entering. Thanks for taking the questions.

Mike Cordonnier

We feel really confident in our growth and our growth profile as we continue to be the only pure-play, AI-enabled personalized surgery company with the very novel aprevo procedure. We do, however, see this as really a tipping point in innovation in the industry, and we're really glad to see the investment in innovation that's really going into this space, as it's really ripe for innovation.

Operator

Our next question comes from David Saxon at Needham & Company.

David Saxon

Great. Good afternoon, Mike and Leo. Congrats on the quarter, thanks for taking my questions. Maybe just on cervical, really strong here coming out at 10% of the mix. Can you give an update on how you're thinking about the full-year mix? I think prior it was high singles to low doubles. An update there would be great. Then by category, how are you thinking about pricing in lumbar and cervical for the back half?

Leo Greenstein

Yeah. We're certainly pleased with the surgeon receptivity to aprevo Cervical, given it's going to the largely same call point of surgeon. A very effective way in which we can have another indication in the bag for our longer-term leverage in achieving those decreasing operating expenses as a % of revenue. With regard to our expectations for the second half of the year for cervical versus lumbar, we definitely see an ongoing uptick in cervical volumes while we continue to grow lumbar. I'd anticipate that for the second half of the year, we're probably in the low double digits, so 11, 12 percentage points or so of cervical on a revenue dollar basis as compared to lumbar. As we think about the average revenue per procedure. In Q2, our average revenue per procedure in lumbar was roughly $29,000. For cervical, it was around $18,000.

Leo Greenstein

We see those levels persisting over the coming quarters. We'll certainly have an ability here with the launch of Corra plating for cervical to provide an additional modest uplift in average revenue per procedure for cervical as well.

David Saxon

Okay. That was helpful. Thanks for that, Leo. Maybe for Mike, just regarding the DRG changes. Is that something you could start to see a benefit from in terms of just starting those conversations and getting access into those centers even before it goes live? Or do you think October 1 is kind of when those conversations start, and then the real benefit is more like a 2027 event? Thanks so much.

Mike Cordonnier

Thanks, David. Yeah. Like I stated, we're really appreciative of the partnership with CMS and appropriately reimbursing this procedure. Our current hospital partners are very enthusiastic about this, and we're continuing to have those conversations with new hospitals that are looking at offering this to their surgeons and patients. While the product approval time still does take some time, we'll start to see the impact of that here in the near term and the long-term durability of our growth in 2027 and beyond.

David Saxon

Great. Thanks so much.

Operator

This concludes the question and answer session. Thank you for your participation in today's conference. This does conclude the program. You may now disconnect.

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10x Genomics (TXG) Expected to Beat Earnings Estimates: Can the Stock Move Higher?

Zacks
Wall Street expects a year-over-year decline in earnings on lower revenues when 10x Genomics (TXG) reports results for the quarter ended June 2026. While this widely-known consensus outlook is important in gauging the company's earnings picture, a powerful factor that could impact its near-term stock price is how the actual results compare to these estimates. The stock might move higher if these key numbers top expectations in the upcoming earnings report, which is expected to be released on August 6. On the other hand, if they miss, the stock may move lower. While management's discussion of business conditions on the earnings call will mostly determine the sustainability of the immediate price change and future earnings expectations, it's worth having a handicapping insight into the odds of a positive EPS surprise. This life science technology company is expected to post quarterly loss of $0.23 per share in its upcoming report, which represents a year-over-year change of -182.1%. Revenues are expected to be $146.96 million, down 15% from the year-ago quarter. The consensus EPS estimate for the quarter has been revised 1.73% higher over the last 30 days to the current level. This is essentially a reflection of how the covering analysts have collectively reassessed their initial estimates over this period. Investors should keep in mind that an aggregate change may not always reflect the direction of estimate revisions by each of the covering analysts. Price, Consensus and EPS Surprise Estimate revisions ahead of a company's earnings release offer clues to the business conditions for the period whose results are coming out. Our proprietary surprise prediction model -- the Zacks Earnings ESP (Expected Surprise Prediction) -- has this insight at its core. The Zacks Earnings ESP compares the Most Accurate Estimate to the Zacks Consensus Estimate for the quarter; the Most Accurate Estimate is a more recent version of the Zacks Consensus EPS estimate. The idea here is that analysts revising their estimates right before an earnings release have the latest information, which could potentially be more accurate than what they and others contributing to the consensus had predicted earlier. Thus, a positive or negative Earnings ESP reading theoretically indicates the likely deviation of the actual earnings from the consensus estimate. However, the model's predictive powe…Read full document

Wall Street expects a year-over-year decline in earnings on lower revenues when 10x Genomics (TXG) reports results for the quarter ended June 2026. While this widely-known consensus outlook is important in gauging the company's earnings picture, a powerful factor that could impact its near-term stock price is how the actual results compare to these estimates. The stock might move higher if these key numbers top expectations in the upcoming earnings report, which is expected to be released on August 6. On the other hand, if they miss, the stock may move lower. While management's discussion of business conditions on the earnings call will mostly determine the sustainability of the immediate price change and future earnings expectations, it's worth having a handicapping insight into the odds of a positive EPS surprise. This life science technology company is expected to post quarterly loss of $0.23 per share in its upcoming report, which represents a year-over-year change of -182.1%. Revenues are expected to be $146.96 million, down 15% from the year-ago quarter. The consensus EPS estimate for the quarter has been revised 1.73% higher over the last 30 days to the current level. This is essentially a reflection of how the covering analysts have collectively reassessed their initial estimates over this period. Investors should keep in mind that an aggregate change may not always reflect the direction of estimate revisions by each of the covering analysts. Price, Consensus and EPS Surprise Estimate revisions ahead of a company's earnings release offer clues to the business conditions for the period whose results are coming out. Our proprietary surprise prediction model -- the Zacks Earnings ESP (Expected Surprise Prediction) -- has this insight at its core. The Zacks Earnings ESP compares the Most Accurate Estimate to the Zacks Consensus Estimate for the quarter; the Most Accurate Estimate is a more recent version of the Zacks Consensus EPS estimate. The idea here is that analysts revising their estimates right before an earnings release have the latest information, which could potentially be more accurate than what they and others contributing to the consensus had predicted earlier. Thus, a positive or negative Earnings ESP reading theoretically indicates the likely deviation of the actual earnings from the consensus estimate. However, the model's predictive power is significant for positive ESP readings only. A positive Earnings ESP is a strong predictor of an earnings beat, particularly when combined with a Zacks Rank #1 (Strong Buy), 2 (Buy) or 3 (Hold). Our research shows that stocks with this combination produce a positive surprise nearly 70% of the time, and a solid Zacks Rank actually increases the predictive power of Earnings ESP. Please note that a negative Earnings ESP reading is not indicative of an earnings miss. Our research shows that it is difficult to predict an earnings beat with any degree of confidence for stocks with negative Earnings ESP readings and/or Zacks Rank of 4 (Sell) or 5 (Strong Sell). For 10x Genomics, the Most Accurate Estimate is higher than the Zacks Consensus Estimate, suggesting that analysts have recently become bullish on the company's earnings prospects. This has resulted in an Earnings ESP of +10.93%. On the other hand, the stock currently carries a Zacks Rank of #3. So, this combination indicates that 10x Genomics will most likely beat the consensus EPS estimate. Analysts often consider to what extent a company has been able to match consensus estimates in the past while calculating their estimates for its future earnings. So, it's worth taking a look at the surprise history for gauging its influence on the upcoming number. For the last reported quarter, it was expected that 10x Genomics would post a loss of$0.29 per share when it actually produced a loss of -$0.10, delivering a surprise of +65.52%. Over the last four quarters, the company has beaten consensus EPS estimates four times. An earnings beat or miss may not be the sole basis for a stock moving higher or lower. Many stocks end up losing ground despite an earnings beat due to other factors that disappoint investors. Similarly, unforeseen catalysts help a number of stocks gain despite an earnings miss. That said, betting on stocks that are expected to beat earnings expectations does increase the odds of success. This is why it's worth checking a company's Earnings ESP and Zacks Rank ahead of its quarterly release. Make sure to utilize our Earnings ESP Filter to uncover the best stocks to buy or sell before they've reported. 10x Genomics appears a compelling earnings-beat candidate. However, investors should pay attention to other factors too for betting on this stock or staying away from it ahead of its earnings release. Carlsmed, Inc. (CARL), another stock in the Zacks Medical Info Systems industry, is expected to report loss per share of $0.4 for the quarter ended June 2026. This estimate points to a year-over-year change of +72.8%. Revenues for the quarter are expected to be $18.52 million, up 53.3% from the year-ago quarter. The consensus EPS estimate for Carlsmed, Inc. has remained unchanged over the last 30 days. However, a lower Most Accurate Estimate has resulted in an Earnings ESP of -18.99%. When combined with a Zacks Rank of #3 (Hold), this Earnings ESP makes it difficult to conclusively predict that Carlsmed, Inc. will beat the consensus EPS estimate. The company beat consensus EPS estimates in each of the trailing four quarters. Stay on top of upcoming earnings announcements with the Zacks Earnings Calendar. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report 10x Genomics (TXG) : Free Stock Analysis Report Carlsmed, Inc. (CARL) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research

Related articleQuarter not tagged2026-07-29

Will Carlsmed, Inc. (CARL) Report Negative Earnings Next Week? What You Should Know

Zacks
The market expects Carlsmed, Inc. (CARL) to deliver a year-over-year increase in earnings on higher revenues when it reports results for the quarter ended June 2026. This widely-known consensus outlook is important in assessing the company's earnings picture, but a powerful factor that might influence its near-term stock price is how the actual results compare to these estimates. The stock might move higher if these key numbers top expectations in the upcoming earnings report, which is expected to be released on August 5. On the other hand, if they miss, the stock may move lower. While the sustainability of the immediate price change and future earnings expectations will mostly depend on management's discussion of business conditions on the earnings call, it's worth handicapping the probability of a positive EPS surprise. This company is expected to post quarterly loss of $0.40 per share in its upcoming report, which represents a year-over-year change of +72.8%. Revenues are expected to be $18.52 million, up 53.3% from the year-ago quarter. The consensus EPS estimate for the quarter has remained unchanged over the last 30 days. This is essentially a reflection of how the covering analysts have collectively reassessed their initial estimates over this period. Investors should keep in mind that the direction of estimate revisions by each of the covering analysts may not always get reflected in the aggregate change. Price, Consensus and EPS Surprise Estimate revisions ahead of a company's earnings release offer clues to the business conditions for the period whose results are coming out. Our proprietary surprise prediction model -- the Zacks Earnings ESP (Expected Surprise Prediction) -- has this insight at its core. The Zacks Earnings ESP compares the Most Accurate Estimate to the Zacks Consensus Estimate for the quarter; the Most Accurate Estimate is a more recent version of the Zacks Consensus EPS estimate. The idea here is that analysts revising their estimates right before an earnings release have the latest information, which could potentially be more accurate than what they and others contributing to the consensus had predicted earlier. Thus, a positive or negative Earnings ESP reading theoretically indicates the likely deviation of the actual earnings from the consensus estimate. However, the model's predictive power is significant for positive ESP read…Read full document

The market expects Carlsmed, Inc. (CARL) to deliver a year-over-year increase in earnings on higher revenues when it reports results for the quarter ended June 2026. This widely-known consensus outlook is important in assessing the company's earnings picture, but a powerful factor that might influence its near-term stock price is how the actual results compare to these estimates. The stock might move higher if these key numbers top expectations in the upcoming earnings report, which is expected to be released on August 5. On the other hand, if they miss, the stock may move lower. While the sustainability of the immediate price change and future earnings expectations will mostly depend on management's discussion of business conditions on the earnings call, it's worth handicapping the probability of a positive EPS surprise. This company is expected to post quarterly loss of $0.40 per share in its upcoming report, which represents a year-over-year change of +72.8%. Revenues are expected to be $18.52 million, up 53.3% from the year-ago quarter. The consensus EPS estimate for the quarter has remained unchanged over the last 30 days. This is essentially a reflection of how the covering analysts have collectively reassessed their initial estimates over this period. Investors should keep in mind that the direction of estimate revisions by each of the covering analysts may not always get reflected in the aggregate change. Price, Consensus and EPS Surprise Estimate revisions ahead of a company's earnings release offer clues to the business conditions for the period whose results are coming out. Our proprietary surprise prediction model -- the Zacks Earnings ESP (Expected Surprise Prediction) -- has this insight at its core. The Zacks Earnings ESP compares the Most Accurate Estimate to the Zacks Consensus Estimate for the quarter; the Most Accurate Estimate is a more recent version of the Zacks Consensus EPS estimate. The idea here is that analysts revising their estimates right before an earnings release have the latest information, which could potentially be more accurate than what they and others contributing to the consensus had predicted earlier. Thus, a positive or negative Earnings ESP reading theoretically indicates the likely deviation of the actual earnings from the consensus estimate. However, the model's predictive power is significant for positive ESP readings only. A positive Earnings ESP is a strong predictor of an earnings beat, particularly when combined with a Zacks Rank #1 (Strong Buy), 2 (Buy) or 3 (Hold). Our research shows that stocks with this combination produce a positive surprise nearly 70% of the time, and a solid Zacks Rank actually increases the predictive power of Earnings ESP. Please note that a negative Earnings ESP reading is not indicative of an earnings miss. Our research shows that it is difficult to predict an earnings beat with any degree of confidence for stocks with negative Earnings ESP readings and/or Zacks Rank of 4 (Sell) or 5 (Strong Sell). For Carlsmed, Inc., the Most Accurate Estimate is lower than the Zacks Consensus Estimate, suggesting that analysts have recently become bearish on the company's earnings prospects. This has resulted in an Earnings ESP of -18.99%. On the other hand, the stock currently carries a Zacks Rank of #3. So, this combination makes it difficult to conclusively predict that Carlsmed, Inc. will beat the consensus EPS estimate. While calculating estimates for a company's future earnings, analysts often consider to what extent it has been able to match past consensus estimates. So, it's worth taking a look at the surprise history for gauging its influence on the upcoming number. For the last reported quarter, it was expected that Carlsmed, Inc. would post a loss of$0.43 per share when it actually produced a loss of -$0.32, delivering a surprise of +25.58%. Over the last four quarters, the company has beaten consensus EPS estimates four times. An earnings beat or miss may not be the sole basis for a stock moving higher or lower. Many stocks end up losing ground despite an earnings beat due to other factors that disappoint investors. Similarly, unforeseen catalysts help a number of stocks gain despite an earnings miss. That said, betting on stocks that are expected to beat earnings expectations does increase the odds of success. This is why it's worth checking a company's Earnings ESP and Zacks Rank ahead of its quarterly release. Make sure to utilize our Earnings ESP Filter to uncover the best stocks to buy or sell before they've reported. Carlsmed, Inc. doesn't appear a compelling earnings-beat candidate. However, investors should pay attention to other factors too for betting on this stock or staying away from it ahead of its earnings release. Hinge Health Inc. (HNGE), another stock in the Zacks Medical Info Systems industry, is expected to report earnings per share of $0.59 for the quarter ended June 2026. This estimate points to a year-over-year change of -11.9%. Revenues for the quarter are expected to be $200.51 million, up 44.2% from the year-ago quarter. The consensus EPS estimate for Hinge Health Inc. has been revised 4.4% higher over the last 30 days to the current level. However, a lower Most Accurate Estimate has resulted in an Earnings ESP of -4.78%. This Earnings ESP, combined with its Zacks Rank #1 (Strong Buy), makes it difficult to conclusively predict that Hinge Health Inc. will beat the consensus EPS estimate. The company beat consensus EPS estimates in each of the trailing four quarters. Stay on top of upcoming earnings announcements with the Zacks Earnings Calendar. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Carlsmed, Inc. (CARL) : Free Stock Analysis Report Hinge Health Inc. (HNGE) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research

Related articleQuarter not tagged2026-07-22

Carlsmed Inc. to Report Second Quarter 2026 Financial Results on August 5, 2026

GlobeNewswire

CARLSBAD, Calif., July 22, 2026 (GLOBE NEWSWIRE) -- Carlsmed, Inc. (Nasdaq: CARL) (“Carlsmed” or the “Company”), a medical technology company pioneering AI-enabled personalized spine surgery solutions, today announced it will report its second quarter 2026 financial results after market close on Wednesday, August 5, 2026. Management will also host a conference call and concurrent webcast starting at 1:30 PM Pacific Time. A live webcast of the conference call will be available in the Events & Presentations section of the company’s investor website at investors.carlsmed.com. Participants may also join via telephone by registering here. A replay will be archived on the company’s website following completion of the call. About Carlsmed Carlsmed is a medical technology company pioneering AI-enabled personalized spine surgery solutions with a mission to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. Investor Relations [email protected] Media [email protected]

Related articleQuarter not tagged2026-05-08

Here's What Analysts Are Forecasting For Carlsmed, Inc. (NASDAQ:CARL) After Its First-Quarter Results

Simply Wall St.
As you might know, Carlsmed, Inc. (NASDAQ:CARL) just kicked off its latest quarterly results with some very strong numbers. Revenues beat expectations coming in atUS$16m, ahead of estimates by 7.8%. Statutory losses were somewhat smaller thanthe analysts expected, coming in at US$0.32 per share. The analysts typically update their forecasts at each earnings report, and we can judge from their estimates whether their view of the company has changed or if there are any new concerns to be aware of. With this in mind, we've gathered the latest statutory forecasts to see what the analysts are expecting for next year. AI is about to change healthcare. These 20 stocks are working on everything from early diagnostics to drug discovery. The best part - they are all under $10bn in marketcap - there is still time to get in early. Taking into account the latest results, the consensus forecast from Carlsmed's five analysts is for revenues of US$74.5m in 2026. This reflects a huge 32% improvement in revenue compared to the last 12 months. Losses are expected to increase substantially, hitting US$1.49 per share. Before this latest report, the consensus had been expecting revenues of US$72.8m and US$1.58 per share in losses. So there seems to have been a moderate uplift in analyst sentiment with the latest consensus release, given the upgrades to both revenue and loss per share forecasts for this year. Check out our latest analysis for Carlsmed Despite these upgrades,the analysts have not made any major changes to their price target of US$18.40, implying that their latest estimates don't have a long term impact on what they think the stock is worth. Fixating on a single price target can be unwise though, since the consensus target is effectively the average of analyst price targets. As a result, some investors like to look at the range of estimates to see if there are any diverging opinions on the company's valuation. There are some variant perceptions on Carlsmed, with the most bullish analyst valuing it at US$23.00 and the most bearish at US$16.00 per share. There are definitely some different views on the stock, but the range of estimates is not wide enough as to imply that the situation is unforecastable, in our view. Another way we can view these estimates is in the context of the bigger picture, such as how the forecasts stack up against past performance, and whether…Read full document

As you might know, Carlsmed, Inc. (NASDAQ:CARL) just kicked off its latest quarterly results with some very strong numbers. Revenues beat expectations coming in atUS$16m, ahead of estimates by 7.8%. Statutory losses were somewhat smaller thanthe analysts expected, coming in at US$0.32 per share. The analysts typically update their forecasts at each earnings report, and we can judge from their estimates whether their view of the company has changed or if there are any new concerns to be aware of. With this in mind, we've gathered the latest statutory forecasts to see what the analysts are expecting for next year. AI is about to change healthcare. These 20 stocks are working on everything from early diagnostics to drug discovery. The best part - they are all under $10bn in marketcap - there is still time to get in early. Taking into account the latest results, the consensus forecast from Carlsmed's five analysts is for revenues of US$74.5m in 2026. This reflects a huge 32% improvement in revenue compared to the last 12 months. Losses are expected to increase substantially, hitting US$1.49 per share. Before this latest report, the consensus had been expecting revenues of US$72.8m and US$1.58 per share in losses. So there seems to have been a moderate uplift in analyst sentiment with the latest consensus release, given the upgrades to both revenue and loss per share forecasts for this year. Check out our latest analysis for Carlsmed Despite these upgrades,the analysts have not made any major changes to their price target of US$18.40, implying that their latest estimates don't have a long term impact on what they think the stock is worth. Fixating on a single price target can be unwise though, since the consensus target is effectively the average of analyst price targets. As a result, some investors like to look at the range of estimates to see if there are any diverging opinions on the company's valuation. There are some variant perceptions on Carlsmed, with the most bullish analyst valuing it at US$23.00 and the most bearish at US$16.00 per share. There are definitely some different views on the stock, but the range of estimates is not wide enough as to imply that the situation is unforecastable, in our view. Another way we can view these estimates is in the context of the bigger picture, such as how the forecasts stack up against past performance, and whether forecasts are more or less bullish relative to other companies in the industry. It's pretty clear that there is an expectation that Carlsmed's revenue growth will slow down substantially, with revenues to the end of 2026 expected to display 45% growth on an annualised basis. This is compared to a historical growth rate of 75% over the past year. By way of comparison, the other companies in this industry with analyst coverage are forecast to grow their revenue at 8.0% annually. Even after the forecast slowdown in growth, it seems obvious that Carlsmed is also expected to grow faster than the wider industry. The most important thing to take away is that the analysts reconfirmed their loss per share estimates for next year. Pleasantly, they also upgraded their revenue estimates, and their forecasts suggest the business is expected to grow faster than the wider industry. There was no real change to the consensus price target, suggesting that the intrinsic value of the business has not undergone any major changes with the latest estimates. With that said, the long-term trajectory of the company's earnings is a lot more important than next year. We have estimates - from multiple Carlsmed analysts - going out to 2028, and you can see them free on our platform here. It is also worth noting that we have found 1 warning sign for Carlsmed that you need to take into consideration. Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team (at) simplywallst.com. This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

Related articleQuarter not tagged2026-05-06

Carlsmed Q1 Earnings Call Highlights

MarketBeat
Revenue and outlook: Q1 revenue was $16.1 million, up 58% year‑over‑year, and management raised full‑year 2026 guidance to $72–$77 million (about 48% growth at the midpoint); gross margin was ~77% while GAAP net loss widened to $8.7 million, with $97.1 million in cash and $15.6 million drawn on a $50 million facility. Commercial momentum and operating efficiency: Surgeon users grew >60% YoY and utilization is accelerating, while production lead time fell >30% to six business days, driving more than 200 basis points of margin expansion; aprevo cervical is in its first full commercial quarter and cervical is expected to contribute a high single‑digit to low double‑digit share of revenue in 2026. Clinical and reimbursement developments: Peer‑reviewed data reported a 74% reduction in two‑year revision rates for aprevo versus historical stock implants (mechanical complication revisions 4.3% vs 16.6%), and CMS proposals would map aprevo lumbar to three new MS‑DRG codes potentially at a premium while aprevo cervical retains a NTAP of up to $21,125 (renewed preliminarily for FY2027). Interested in Carlsmed, Inc.? Here are five stocks we like better. Carlsmed (NASDAQ:CARL) reported first-quarter 2026 revenue of $16.1 million, up 58% from $10.2 million in the prior-year period, as the company highlighted continued surgeon adoption of its patient-specific “aprevo” spine fusion procedures and ongoing efficiency gains in its digital production system. Chairman and CEO Mike Cordonnier said the company saw “strong adoption” across its lumbar and cervical personalized surgery offerings in the quarter and believes the aprevo platform is positioned to “transform spine surgery.” Cordonnier attributed growth to medical education efforts, clinical outcomes data, and expansion in the company’s surgeon base. → Roblox Stock Slides to New Low as Safety Changes Weigh on Outlook Operationally, Cordonnier said Carlsmed reduced production lead time “by more than 30% to six business days” and delivered “more than 200 basis points of margin expansion year-over-year.” He also said the company’s surgeon user base grew more than 60% year-over-year, with notable engagement from early-career and post-fellowship surgeons. In response to a question on utilization trends, Cordonnier said surgeon enthusiasm continued to “accelerate into the year” following strong new surgeon additions exiting 2025…Read full document

Revenue and outlook: Q1 revenue was $16.1 million, up 58% year‑over‑year, and management raised full‑year 2026 guidance to $72–$77 million (about 48% growth at the midpoint); gross margin was ~77% while GAAP net loss widened to $8.7 million, with $97.1 million in cash and $15.6 million drawn on a $50 million facility. Commercial momentum and operating efficiency: Surgeon users grew >60% YoY and utilization is accelerating, while production lead time fell >30% to six business days, driving more than 200 basis points of margin expansion; aprevo cervical is in its first full commercial quarter and cervical is expected to contribute a high single‑digit to low double‑digit share of revenue in 2026. Clinical and reimbursement developments: Peer‑reviewed data reported a 74% reduction in two‑year revision rates for aprevo versus historical stock implants (mechanical complication revisions 4.3% vs 16.6%), and CMS proposals would map aprevo lumbar to three new MS‑DRG codes potentially at a premium while aprevo cervical retains a NTAP of up to $21,125 (renewed preliminarily for FY2027). Interested in Carlsmed, Inc.? Here are five stocks we like better. Carlsmed (NASDAQ:CARL) reported first-quarter 2026 revenue of $16.1 million, up 58% from $10.2 million in the prior-year period, as the company highlighted continued surgeon adoption of its patient-specific “aprevo” spine fusion procedures and ongoing efficiency gains in its digital production system. Chairman and CEO Mike Cordonnier said the company saw “strong adoption” across its lumbar and cervical personalized surgery offerings in the quarter and believes the aprevo platform is positioned to “transform spine surgery.” Cordonnier attributed growth to medical education efforts, clinical outcomes data, and expansion in the company’s surgeon base. → Roblox Stock Slides to New Low as Safety Changes Weigh on Outlook Operationally, Cordonnier said Carlsmed reduced production lead time “by more than 30% to six business days” and delivered “more than 200 basis points of margin expansion year-over-year.” He also said the company’s surgeon user base grew more than 60% year-over-year, with notable engagement from early-career and post-fellowship surgeons. In response to a question on utilization trends, Cordonnier said surgeon enthusiasm continued to “accelerate into the year” following strong new surgeon additions exiting 2025. He added that utilization has increased, particularly among surgeons who have moved beyond the initial trial phase and into broader adoption. → The Real SpaceX Play: 5 Chip Stocks Powering the IPO Before It Launches Cordonnier pointed to peer-reviewed data published in January in Global Spine Journal that he said demonstrated a 74% reduction in surgery revision rates at two years for complex adult spinal deformity patients receiving Carlsmed’s aprevo personalized interbody implants compared with previously published revision data for a similar cohort using conventional stock implants. According to Cordonnier, the revision rate due to mechanical complications was 4.3% for aprevo-treated patients versus 16.6% for patients with stock devices. He said the reductions were driven by decreases in complications such as rod fractures and proximal junctional kyphosis. → 3 Emerging Markets ETFs to Maximize Exposure to High-Potential Countries Carlsmed also discussed pipeline progress. Cordonnier said the company completed the first aprevo bilateral lumbar fusion procedure in February and is conducting a limited market evaluation, with a full commercial launch targeted for the fourth quarter of 2026. On the cervical side, Cordonnier said the first quarter marked Carlsmed’s first full quarter commercially in the market for aprevo cervical fusion, which launched in December 2025. He said the company has trained more than 20% of its surgeon users on the cervical platform. In Q&A, Cordonnier said the cervical business is tracking with expectations for a “high single digit, low double digit percent contribution of revenue” for the year. The company also announced its CORRA cervical plating system, which Cordonnier described as the debut of Carlsmed’s patient-specific fixation portfolio for anterior cervical discectomy and fusion procedures. He said the first procedure using CORRA was performed in February 2026 at the University of California, San Francisco, and the company remains on track for a Q4 launch following a limited market evaluation. Cordonnier highlighted reimbursement developments for both lumbar and cervical procedures. He said the aprevo lumbar platform is currently covered under 11 different MS-DRG codes, and “the majority” of procedures are reassigned to the three elevated major complication or comorbidity MS-DRG codes. He also discussed the Centers for Medicare & Medicaid Services’ FY 2027 proposed inpatient prospective payment system rule published April 10. Under the proposal, Cordonnier said all aprevo lumbar spine fusion procedures would map to one of three new MS-DRG codes—523, 524, or 525—“at a premium to traditional spine fusion procedures,” if finalized as proposed. He noted the rule is preliminary and said the final rule is expected ahead of an effective date of Oct. 1, 2026. In Q&A, Cordonnier described the benefit primarily as improved access and simplified coding rather than new coverage. “We have full coverage today,” he said, adding that the proposal could remove ambiguity for hospitals and allow them to code procedures “as they normally would” with more certainty around MS-DRG mapping. For cervical procedures, Cordonnier said CMS granted a new technology add-on payment in October 2025 of up to $21,125 in incremental hospital reimbursement for aprevo cervical for a three-year period. He added that CMS renewed the payment for FY 2027 in the preliminary rule. Chief Financial Officer Leo Greenstein said first-quarter revenue growth was driven by expansion in surgeon users and increased unit volume, with average revenue per procedure “substantially consistent” year-over-year. Gross margin was 77.1%, up from 74.9% in Q1 2025, which Greenstein attributed to stable average revenue per procedure and efficiency improvements in the digital production system. Operating expenses rose to $21.7 million from $13.4 million a year earlier. Greenstein broke out the increases across functions: R&D increased to $5.2 million from $3.2 million, primarily from higher personnel costs tied to product development priorities and AI-enabled initiatives for digital surgical planning. Sales and marketing increased to $10.3 million from $6.7 million, driven by increased sales headcount, higher variable commissions with revenue growth, and increased marketing spending. General and administrative increased to $6.2 million from $3.5 million, reflecting personnel additions and higher professional services and legal fees, including compliance and public company-related costs. Carlsmed reported a GAAP net loss of $8.7 million, compared with a $5.7 million net loss in the prior-year quarter. Adjusted EBITDA, excluding stock-based compensation, was negative $7.5 million versus negative $5.5 million in Q1 2025. Greenstein said the company anticipates improvement in adjusted EBITDA “over the coming years” as revenue grows and operating leverage improves. Greenstein said cash and investments totaled $97.1 million as of March 31, 2026. The company had $15.6 million outstanding under a $50 million debt facility that matures in October 2030, and Greenstein said there are “no current plans” to make additional draws, though he described the facility as low-cost, non-dilutive standby capital. Total liabilities were $26.5 million, including the debt balance. Cash used in operating activities was $13.0 million in the quarter, compared with $8.2 million in the first quarter of 2025. For full-year 2026, Greenstein said Carlsmed is raising its revenue guidance to $72 million to $77 million, which he said represents 48% growth at the midpoint over full-year 2025. He reiterated expectations for gross margins in the mid-to-high 70s and said the company anticipates operating expense leverage in coming quarters with an expected revenue ramp in aprevo lumbar and aprevo cervical. On product mix and pricing, Greenstein told analysts the average revenue per procedure was consistent year-over-year, but he expects average revenue per procedure to be in the “mid to high 20s” over time as cervical becomes a larger portion of revenue, noting cervical carries lower average revenue per procedure than lumbar. He also said the company expects gross margins to remain in the mid-to-high 70s even as cervical grows to a high single-digit to low double-digit mix, with lower cervical gross margin headwinds offset by production efficiencies in lumbar. We are a commercial-stage medical technology company pioneering AI-enabled personalized spine surgery solutions with a mission to improve outcomes and decrease the cost of healthcare for spine surgery and beyond. We are focused on becoming the standard of care for spine fusion surgery. The aprevo Technology Platform consists of artificial intelligence (“AI”)-enabled software solutions, and interbody implants that we custom design for each patient's unique pathology and vertebral bone topography, and single-use surgical instruments (the “aprevo Technology Platform”). The article "Carlsmed Q1 Earnings Call Highlights" was originally published by MarketBeat.

As of 2026-11-07 • Updated weeklySource: Earnings sourceIngestion runbook