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Carlsmed® Reports First Quarter 2026 Financial Results

Key Takeaway: Carlsmed, Inc. reported a strong first quarter for 2026, achieving $16.1 million in revenue, a 58% increase from the previous year. The company raised its full-year revenue guidance to between $72 million and $77 million. Notably, clinical data published in the Global Spine Journal highlighted a significant reduction in revision rates for its product, aprevo®. The company is optimistic about its upcoming product launches and continued growth.

Market Sentiment Analysis

POSITIVE FACTORS

  • 58% year-over-year revenue growth in Q1 2026.
  • Publication of clinical data showing a 74% reduction in revision rates.
  • Anticipated launch of new product offerings enhancing growth potential.

Full Press Release Details

First quarter 2026 revenue of $16.1 million, representing 58% growth year-over-year
Full year 2026 revenue guidance raised to $72 million to $77 million
CARLSBAD, Calif., May 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 first quarter ended March 31, 2026.
“We began 2026 with strong momentum, delivering 58% year-over-year revenue growth, publishing meaningful clinical data, and debuting new products to continue to advance our mission of improved patient outcomes and reduced cost of healthcare," said Mike Cordonnier, Chairman and Chief Executive Officer of Carlsmed. "The publication of peer-reviewed data from a retrospective cohort study inGlobal Spine Journaldemonstrates a 74% reduction in revision rates for aprevo®, which represents one of the most significant advancements in reducing reoperations in adult spinal deformity over the past two decades. With our first full commercial quarter for aprevo®Cervical and the anticipated launch of our corra™ patient-specific fixation portfolio later this year, we believe we are well positioned for continued growth and innovation throughout 2026.”

Recent Business Highlights

First Quarter 2026 Financial Results

2026 Financial Outlook

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. To access the webcast, please use the following link, which will provide you with dial-in details:https://edge.media-server.com/mmc/p/2j9w2c9m/

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 Statement

Any statements in this press release about future expectations, plans and prospects, including statements about Carlsmed’s growth prospects, the potential of its products to improve patient outcomes, anticipated product launch dates, 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 RelationsStephanie ZhadkevichVice President, Head of Investor RelationsIR@Carlsmed.com

MediaLeAnn BurtonSenior Director, Brand MarketingLBurton@Carlsmed.com

CARLSMED, INC.CONDENSED STATEMENTS OFOPERATIONS AND COMPREHENSIVE LOSS(in thousands, except share and per share amounts)(unaudited)
Three Months Ended March 31,
2026 2025
Revenue $ 16,116 $ 10,189
Cost of sales 3,691 2,553
Gross profit 12,425 7,636
Operating expenses:
Research and development 5,178 3,150
Sales and marketing 10,297 6,739
General and administrative 6,226 3,466
Total operating expenses 21,701 13,355
Loss from operations (9,276 ) (5,719 )
Other income (expense):
Interest expense (311 ) (357 )
Interest income 891 380
Change in fair value of warrant liabilities (33 )
Total other income (expense), net 580 (10 )
Net loss and comprehensive loss (8,696 ) (5,729 )
Deemed dividend to preferred stockholders (584 )
Net loss attributable to common stockholders $ (8,696 ) $ (6,313 )
Net loss per share attributable to common stockholders, basic and diluted $ (0.32 ) $ (1.47 )
Weighted-average number of common shares used to compute basic and diluted net loss per share 26,835,841 4,299,492
CARLSMED, INC.CONDENSED BALANCE SHEETS(in thousands, except for share and par value amounts)(unaudited)
March 31,2026 December 31,2025
Assets
Current assets:
Cash and cash equivalents $ 73,016 $ 85,793
Restricted cash 100 100
Short-term investments 24,000 24,000
Accounts receivable, net of allowances of $2,055 and $1,653, as of March 31, 2026 and December 31, 2025, respectively 12,268 11,362
Inventory 2,063 1,845
Prepaid expenses and other current assets 3,959 3,573
Total current assets 115,406 126,673
Property and equipment, net 1,597 1,487
Operating lease right-of-use assets 1,663 1,826
Other assets 103 134
Total assets $ 118,769 $ 130,120
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable $ 2,952 $ 4,481
Accrued liabilities 3,202 3,287
Accrued compensation 2,785 5,760
Short-term operating lease liabilities 776 752
Total current liabilities 9,715 14,280
Long-term portion of term loan, net 15,364 15,346
Long-term operating lease liabilities 1,115 1,316
Other long-term liabilities 327 309
Total liabilities 26,521 31,251
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $0.00001 par value; 10,000,000 shares authorized and zero shares issued and outstanding as of March 31, 2026 and December 31, 2025
Common stock, $0.00001 par value; 600,000,000 shares authorized, 27,232,278 shares issued, and 27,181,501 shares outstanding as of March 31, 2026; 600,000,000 shares authorized, 26,664,243 shares issued, and 26,604,505 shares outstanding as of December 31, 2025
Additional paid-in capital 201,749 199,674
Accumulated deficit (109,501 ) (100,805 )
Total stockholders’ equity 92,248 98,869
Total liabilities and stockholders’ equity $ 118,769 $ 130,120
RECONCILIATION OF GAAP NET LOSSTO ADJUSTED EBITDA(unaudited)
Three Months EndedMarch 31, $ %
2026 2025 Change Change
(in thousands, except percentages)
Net loss $ (8,696 ) $ (5,729 ) $ (2,967 ) 51.8 %
Interest (income) expense (580 ) (23 ) (557 ) 2,421.7 %
Income taxes
Depreciation and amortization 99 40 59 147.5 %
EBITDA (9,177 ) (5,712 ) (3,465 ) 60.7 %
Stock-based compensation 1,629 175 1,454 830.9 %
Change in fair value of warrant liabilities 33 (33 ) (100.0 ) %
Adjusted EBITDA $ (7,548 ) $ (5,504 ) $ (2,044 ) 37.1 %

Frequently Asked Questions

What was Carlsmed's revenue for Q1 2026?

Carlsmed reported a revenue of $16.1 million for the first quarter of 2026.

How much did Carlsmed's revenue grow year-over-year?

The company achieved a 58% growth in revenue compared to the previous year.

What is the new revenue guidance for 2026?

Carlsmed raised its revenue guidance for 2026 to between $72 million and $77 million.

What significant data was published by Carlsmed?

Clinical data showed a 74% reduction in revision rates for the aprevo® product.

What new products is Carlsmed launching?

Carlsmed plans to launch its corra™ patient-specific fixation portfolio later this year.

Last updated: May 6, 2026