CARL

HoldHot Air

Carlsmed, Inc. · Healthcare · United States · $397M cap · $1.3M/day traded

$15.77 +3.0% · close 29 Oct · scored 30 Oct

Hot Air: Rising on momentum alone: weak business, rich price.

40
StockRank
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Quality
39
Value
26
Momentum
67

As of 30 Oct 2026, MoatMap's StockRank for Carlsmed, Inc. (CARL) is 40/100, ranked against 24,000+ stocks in 35 markets (Quality 39, Value 26, Momentum 67, each scored against its sector).

Does StockRank work? Each month we publish how every decile did, whichever way it went. See the record →

P/E (TTM)
—
peers 27.2x
ROE
-66.1%
peers -30.1%
D/E
0.3x
peers 0.2x
Dividend %
—
trailing yield

ABOUT CARLSMED, INC.

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Carlsmed, Inc. is a medical technology company specializing in AI-enabled personalized spinal surgery devices. Their flagship product, aprevo, uses predictive analytics to optimize implant designs for individual patient anatomy and surgical outcomes. This innovative approach provides a competitive edge in the complex spinal fusion market by enhancing surgical precision and patient-specific care.

FINANCIAL SUMMARY (USD)

Year202320242025CAGRTTM2026E2027EFwd CAGR
Revenue13.8M27.2M50.5M91.5%63.3M76.7M108.1M46.3%
EPS-4.25-6.11-2.12—-1.08-1.41-1.38—
Shares26.5M26.5M26.7M+0.6%27.3M———
Debt11.4M17.2M17.4M23.7%21.9M———
Equity-46.1M-70.6M98.9M—————
Op CF-17.5M-25.5M-29.0M—-34.1M———
Inv CF-0.1M-0.2M-25.5M—————
Fin CF3.2M58.5M100.1M—————
Loading 1Y...
PRICE (1Y) · USD+1.2%
13.414.014.615.215.818 Sep9 Oct29 Oct
SMA 50SMA 200

Price checkIn an uptrendExperimental

Above its 200-day average and 8% below its 52-week high.

SwingsVery bumpy

Swung more than 83% of stocks we rank over the past year (71% a year).

How this is worked out

StockRank judges the business. The price check reads only the chart: it is the price side of the Momentum score, in words.

The rules: Still falling is a new 52-week low in the last two weeks, at least 25% below the high. Finding a floor is no new low since. Turning up is 20 or more trading days without a new low, at least 10% off it, and back above a rising 50-day average. In an uptrend is above the 200-day average and within 15% of the high.

In 2,112 US drawdowns since 2001, buying while the price was still falling was followed by a further 20% drop 42% of the time. Waiting for a turn like this one cut that to 33%, at about 7% higher prices and with no better returns. Part of that cut is simply not buying: 13% of falls never turned, and waiting kept those out. Among turns that were bought, 38% still fell another 20%, and 33% of turns were followed by a new low within six months. The benefit was largest in crashes such as 2008 and 2020.

What it measures: day-to-day price moves over the past year, as a yearly figure, ranked against every stock we cover. Very calm under 20% a year, Calm 20 to 30%, Average 30 to 40%, Bumpy 40 to 55%, Very bumpy above that.

What we found: across about 13,500 stocks in 34 markets (2002 to 2025), past swings were a good guide to the next year's, and bumpier stocks fell further. How much further changed too much between eras to put a number on it.

Calm is not safe: a calm stock can still slide steadily.

Rules fixed before any data was fetched. Describes the chart, not a recommendation.

Close
$15.77
RSI (14)
64.5
52-Week Range-8.5% from high
Low $8.50High $17.23

SCORE BREAKDOWN

Quality
39
ROIC
-30.2%24.0
ROE
-66.1%14.3
GP/Assets
37.3%76.1
Op. Margin
-58.3%19.6
FCF/Assets
-27.1%17.1
Piotroski
549.3
Int. Cover
-26.2x16.0
D/E Ratio
0.26x44.8
Current Ratio
8.84x85.2
Value
26
P/E (TTM)
—N/A
EV/EBITDA
-8.6x25.0
P/FCF
—N/A
P/B
4.7x27.4
P/S
6.3x34.4
Div Yield
—N/A
Momentum
67
52W High %
92%86.7
RS 6M
69%94.3
SMA 50/200
1.22x90.1
EPS Rev 4W
0.0%51.2
EPS Rev 12W
+3.8%76.2
EPS Improve
-28%13.0
Q Growth
—N/A

FUNDAMENTALS

Market Cap
$397M
P/E (Forward)
-10.5x
Gross Margin
76.6%

SECTOR PEERS

Closest peers in Healthcare, ranked by industry match, size, and score similarity. Cross-listings of CARL are excluded.

TickerCompanyMkt CapStockRankSignal
CARLCarlsmed, Inc.(you)$397M40Hold
EVHEvolent Health, Inc.$543M46Hold
CTEVClaritev Corporation$398M53Hold
MDRXVeradigm Inc.$517M57Hold
WEAVWeave Communications, Inc.$595M61Hold
HCATHealth Catalyst, Inc.$127M49Hold
SDGRSchrödinger, Inc.$1.8B36Hold
NRCNRC Health$485M76Buy
NURS.VHydreight Technologies Inc.$123M57Hold
OMDAOmada Health, Inc.$1.2B60Hold

Peer medians: ROE -30.1% · P/E 27.2x · Gross margin 63.3%

Company Deep Dive

Business segments breakdown, earnings transcript analysis, management credibility scoring, competitive landscape, and scenario modelling.

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Carlsmed, Inc. (CARL): Stock Score Summary

Carlsmed, Inc. (CARL) has a MoatMap StockRank of 40/100 based on Quality (39/100), Value (26/100), and Momentum (67/100) factor scores. The current signal is HOLD.

Carlsmed, Inc. is a medical technology company specializing in AI-enabled personalized spinal surgery devices. Their flagship product, aprevo, uses predictive analytics to optimize implant designs for individual patient anatomy and surgical outcomes. This innovative approach provides a competitive edge in the complex spinal fusion market by enhancing surgical precision and patient-specific care.

Key Financial Metrics

Price$15.77
Market Cap$397M
P/E (Forward)-10.53
Price/Book4.70
Return on Equity-66.1%
Return on Invested Capital-30.2%
Debt/Equity0.26x
Gross Margin76.6%
Operating Margin-58.3%
Revenue Growth56.7%
Free Cash Flow$-35M

Carlsmed, Inc. operates in the Health Information Services industry, part of the Healthcare sector (United States).

Frequently Asked Questions

What is Carlsmed, Inc.’s (CARL) StockRank?
MoatMap’s StockRank for Carlsmed, Inc. (CARL) is 40/100, with a Hold signal. It is a composite of Quality (39), Value (26), and Momentum (67), each scored against its sector. The composite is then ranked across MoatMap’s universe of 24,000+ stocks.
Does Carlsmed, Inc. have an economic moat?
Carlsmed, Inc. (CARL) has a Quality factor score of 39/100. The Quality factor combines ROIC, Piotroski F-Score, and leverage: the financial fingerprints of a durable competitive advantage. A Quality score above 70 typically indicates a company with the characteristics of a moated business.
Is Carlsmed, Inc. a buy, hold, or sell?
MoatMap’s current signal for Carlsmed, Inc. (CARL) is Hold, based on a StockRank of 40/100. Signals are derived mechanically from the StockRank composite and should be one input among many; combine with your own thesis on management, competitive position, and valuation.
What sector is Carlsmed, Inc. in?
Carlsmed, Inc. (CARL) operates in the Healthcare sector, specifically the Health Information Services industry (United States).