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Stock Ratings / Health Care / CARL / insiders
SI (48) OFIX (47) NPCE (23) SSII (30) โŒ˜ Pro Terminal โ†’

Carlsmed Inc. (CARL) Insider, 13F Hedge Fund & Politician Buy/Sell Thermometer

$14.95 -5.20% NASDAQ โ€ข Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $14.78

Carlsmed Inc. (CARL) carries a Roarable Rating of D- (Sell) with 41/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

๐Ÿ“Š Historical Track Record Warning: Scores below 50 (41/100 ยท D-) historically underperformed SPY in 71% of rolling 90-day windows โ†’
ROARABLE D- โ€ข RED ALERT Cap $430.6M
๐Ÿ“ค Share Live RQD Speedometer Card: ๐• Post Reddit StockTwits โฌ‡ Live SVG Card
โšก INSTANT AI QUANT PREVIEW โ€ข $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on CARL Below โ€” or Connect Your Own ChatGPT / Claude
๐Ÿค– Mara Quenwick โ€ข AI Quant Lead (Click for Instant Brief) Is CARL stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
โ–ผ

As of 2026-11-02, Carlsmed Inc. (NASDAQ: CARL) is rated D- (Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 41/100 at a spot price of $14.95 (-5.20% 1D, market cap $430.6M). Pillar breakdown: Fundamental Cash Engine 8/20, Institutional 13F & Options Flow 14/20, Executive Insider Alignment 8/20, FRED Macro Regime Fit 8/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, CARL ranks #501 in composite RQD confidence.

โœ“ Pre-computed one-to-many AI Quant brief
๐Ÿค– Ellis Vennor โ€ข AI Peer & Flow Quant (Click for Instant Brief) How does CARL compare to SI and OFIX in the Health Care sector?
โ–ผ

Within the Health Care sector (Medical/Dental Instruments), CARL carries a Roarable D- (41/100 RQD), trailing P/E of N/A, gross margin of 75.3%, and ROIC of -35.0%. By comparison, SI (Shoulder Innovations Inc.) holds a D grade (48/100 RQD, P/E N/A, ROIC -16.1%, cap $425.5M) and OFIX (Orthofix Medical Inc.) posts a D grade (47/100 RQD, P/E N/A, ROIC -12.2%, cap $417.1M). Among the 5-stock peer group, CARL leads on earnings multiple (N/A) while OFIX leads on capital efficiency (-12.2% ROIC).

โœ“ Pre-computed one-to-many AI Quant brief
๐Ÿค– Gideon Ashmere โ€ข AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for CARL?
โ–ผ

Per CARL's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001794546), Carlsmed Inc. generated $50.5M in revenue (+85.9% YoY), -$29.6M in net income, and -$29.6M in free cash flow against $130.1M in total assets and $0 in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

โœ“ Pre-computed one-to-many AI Quant brief
๐Ÿค– AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists โ€” not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).
INTERACTIVE SCENARIO DECK:
๐Ÿ›ก๏ธ Portfolio Crash X-Ray
EXT / AFTER-HRS: $14.78 (-1.13%)๐Ÿงฌ Dilution Drag (+2.48% YoY Shares)โš™๏ธ Cash Engine: 8/20 (D-) โ€ข 0% FCF Margin
Verify 90D Bucket Audit โ†’
๐Ÿ“Š Historical Track Record Warning: Scores below 50 (41/100 ยท D-) historically underperformed SPY in 71% of rolling 90-day windows (-7.2% avg 90D alpha vs SPY โ€ข 29.0% hit rate).
Audit Bucket Track Record โ†’
RQD QUANT TACHOMETERRED ALERT โ€ข D-
025507510041
3-of-3 JEV AI Jury Bearish Warning
Cash
SEC
Whale

Impersonal quantitative research (0โ€“100 RQD rubric) โ€” not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw D- ยท Rk D-
Cash (8)Whales (14)SEC (8)Macro (8)CEO (3)
Each axis scored 0โ€“20
12M PRICE TARGET CONE-7.6% Base Target
$18 Bull$14 Base$11 Bear
๐Ÿ“ฌ FREE CARL RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: โ€” (No Active Options Snapshot on file for CARL)Realized 20D OHLCV Swing Band: ยฑ11%
Deterministic 5-Pillar Attribution (41/100 Composite)
๐Ÿ” WHY CARL SCORES 41/100 (D-) โ€” TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag
โ–ฒ #1 Bullish Driver: Whale & Options Positioning+14/20 pts (34% of score)

20D Institutional Volume Accumulation (ยฑ11% realized swing band)

โ–ฒ #2 Bullish Driver: Cash Engine Quality+8/20 pts (20% of score)

SEC XBRL FY 2025 (10-K): 0% FCF Margin ($0 FCF) & 75.3% Gross Margin

โ–ผ #1 Drag / Risk Factor: Insider Conviction & Share Dilution4/20 pts (-16 pt drag)

Dilution Drag (+2.48% YoY Shares) & executive Form 4 sales trim 16 pts from alignment

๐Ÿ“ˆ PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 โ†’ Q2 โ†’ Q3 โ†’ Current
Q1 (-3Q)
33
Grade E$14.78-7.6% Next Q
Q2 (-2Q)
36
Grade E$13.66+9.2% Next Q
Q3 (-1Q)
38
Grade E$14.91+0.3% Next Q
Current
41
Grade D-$14.95-7.2% Hist 90D ฮฑ
Trajectory: E (33) โ†’ D- (41)Full Audit โ†’
โš”๏ธ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)CONTRARIAN TURNAROUND & SHORT-SQUEEZE DOSSIER

โš”๏ธ Adversarial Opposing Case: What Could Spark a CARL Turnaround Squeeze

Gideon Ashmere Forensic Desk โ†’

While CARL currently carries a cautious 41/100 (D-) rating due to Insider Conviction & Share Dilution (4/20), shorts face asymmetric squeeze risk if free cash flow inflects or management executes accretive buybacks.

๐Ÿš€ Contrarian Squeeze Trigger #1

Established market leader in Health Care with deep daily trading liquidity.

๐Ÿš€ Contrarian Squeeze Trigger #2

Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($15.02) and Max Pain ($15.70) forces dealer call-delta covering toward $18.09.

๐Ÿš€ Contrarian Squeeze Trigger #3

Forensic Repair Trigger: Halting share dilution (Dilution Drag (+2.48% YoY Shares)) or retiring high-cost debt immediately upgrades the SEC 10-K Forensic pillar.

๐ŸŽฒ LIVE PREDICTION MARKET ODDS TIED TO $CARLโ€ข $2.4M Crowd Pool โ€ข Kalshi / Polymarket Composite
Contract: โ€œCARL Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMAโ€
YES 41%NO 59%Trade / Inspect Odds โ†’
SEC FORM 4 ร— 13F HEDGE FUNDS ร— CONGRESSIONAL STOCK ACT

CARL Smart-Money Thermometer: NET EXECUTIVE TRIMMING / PROFIT-TAKING

Explore All 13F & Congress Whales โ†’
โ–ฒ Disclosed Buys: 0 ($0)โ–ผ Disclosed Sales: 0 ($0)

Wide-Open SEC Form 4, 13F & Congressional Disclosure Ledger (CARL)

No recent open-market Form 4 cluster sales or emergency dumps flagged on CARL. Visit the Global 13F & Congressional Whale Ledger for cross-market smart-money filings.

ON-DEMAND RQD QUANT WORKSHOP โ€ข SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Forensic Quant Desk

Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring CARL)

  • โœ“Walkthrough of CARL's RQD Radar, SEC cash-conversion gap & downside invalidation levels
  • โœ“3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
  • โœ“Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
Want Custom AI PineScript / Python Indicators & Priority Rating-Change Alerts?
Join Founding VIP Waitlist (No Card Required) โ†’$100K Arena
CARL // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +64.47%๐Ÿ“ WEDGE COMPRESSION COIL
2026-11-02O $15.31H $15.77L $14.95C $14.95VOL 58.6K
RES: $16.22SUP: $13.81SMA50: $15.02SMA200: $12.42
$17.82$15.38$12.94$10.49$8.05RES $16.22SUP $13.81$14.952026-05-042026-06-172026-08-042026-09-172026-11-02
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

CARL Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

๐Ÿฆ‹ CARL Butterfly Map โ†’ + Track CARL โ†’
Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
8.0%/yr Implied 5Y Growth

vs. +6.0% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on CARL today. View full Setup Ledger โ†’

๐Ÿฆ‹ Documented & Second-Order Butterfly Connections Open Graph โ†’

No direct multi-tier Butterfly edges indexed yet for CARL. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
๐ŸŽฌ No recent verified company-specific video clip queued for CARL today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk โ†’
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT โ€ข SEC EDGAR XBRL ร— RQD PEER BENCHMARK

๐Ÿ“Š Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (CARL)

Health Care Rank #501 of 1016 โš”๏ธ SI vs CARL Full Matrix โ†’

1. Head-to-Head Health Care Peer Comparison (CARL vs. SI, OFIX, NPCE, SSII)

Industry: Medical/Dental Instruments (120 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Carlsmed Inc. (CARL) ranks #501 by composite RQD confidence (41/100, grade D-) and #470 by equity capitalization ($430.6M). Within this direct 5-issuer industry benchmark cohort, CARL leads on earnings valuation at N/A trailing P/E, while OFIX leads on capital efficiency and profitability with -12.2% ROIC and 68.8% gross margin. SI currently holds the highest overall quantitative score in the immediate peer group at 48/100 (D) compared with CARL at 41/100 (D-).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
CARL ACTIVE
Carlsmed Inc.
D- 41/100 โ€” 75.3% -35.0% -5.20% $430.6M Benchmark Subject
SI
Shoulder Innovations Inc.
D 48/100 โ€” 76.5% -16.1% -6.41% $425.5M /si-vs-carl โ†’
OFIX
Orthofix Medical Inc.
D 47/100 โ€” 68.8% -12.2% -11.43% $417.1M /ofix-vs-carl โ†’
NPCE
Neuropace Inc.
E 23/100 โ€” 77.2% -23.0% -5.46% $446.6M /npce-vs-carl โ†’
SSII
SS Innovations International Inc.
E 30/100 โ€” 46.0% -18.5% -1.26% $477.2M /ssii-vs-carl โ†’

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2024โ€“FY2025)

SEC EDGAR 10-K โ€ข FILED 2025-12-31 โ€ข CIK 0001794546

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Carlsmed Inc. (CARL) reported GAAP revenue of $50.5M (+85.9% vs. FY2024 revenue of $27.2M ) , GAAP net income of -$29.6M, operating cash flow of -$29.0M, and free cash flow of -$29.6M (-15.5% YoY). On the balance sheet, CARL closed FY2025 with $130.1M in total assets against $0 in total debt (Altman Z-Score: 7.83, Piotroski F-Score: 3/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $50.5M -$29.6M -$29.0M -$29.6M $130.1M โ€”
FY2024 (FY) 2024-12-31 $27.2M -$24.3M -$25.5M -$25.6M $51.8M โ€”

3. CARL Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

โœ“ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is CARL stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-02, Carlsmed Inc. (NASDAQ: CARL) is rated D- (Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 41/100 at a spot price of $14.95 (-5.20% 1D, market cap $430.6M). Pillar breakdown: Fundamental Cash Engine 8/20, Institutional 13F & Options Flow 14/20, Executive Insider Alignment 8/20, FRED Macro Regime Fit 8/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, CARL ranks #501 in composite RQD confidence.

How does CARL compare to SI and OFIX in the Health Care sector?

Within the Health Care sector (Medical/Dental Instruments), CARL carries a Roarable D- (41/100 RQD), trailing P/E of N/A, gross margin of 75.3%, and ROIC of -35.0%. By comparison, SI (Shoulder Innovations Inc.) holds a D grade (48/100 RQD, P/E N/A, ROIC -16.1%, cap $425.5M) and OFIX (Orthofix Medical Inc.) posts a D grade (47/100 RQD, P/E N/A, ROIC -12.2%, cap $417.1M). Among the 5-stock peer group, CARL leads on earnings multiple (N/A) while OFIX leads on capital efficiency (-12.2% ROIC).

What are the biggest fundamental strengths and SEC risk factors for CARL?

Per CARL's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001794546), Carlsmed Inc. generated $50.5M in revenue (+85.9% YoY), -$29.6M in net income, and -$29.6M in free cash flow against $130.1M in total assets and $0 in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is CARL trading relative to its 50-day, 200-day, and 52-week technical levels?

CARL last traded at $14.95 (-5.20% on volume of 73,296 shares), positioning the stock -0.47% below its 50-day simple moving average ($15.02) and +20.37% above its 200-day simple moving average ($12.42). Across its 52-week range of $8.50 to $17.23, CARL sits at the 73.9% percentile with a 14-day RSI of 59.5 (BULLISH MOMENTUM) and an implied next-earnings move of ยฑ11.0% ($13.31 to $16.59).

CARL Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS โ€ข SEC EDGAR ร— CBOE ร— FRED

Are CARL insiders and hedge funds buying or selling?

Roarable's SEC Form 4 and 13F Whale Thermometer currently classifies CARL leadership and institutional positioning as: NET EXECUTIVE TRIMMING / PROFIT-TAKING.

Direct Sub-Reports: CARL RQD Cockpit CARL 12M Forecast CARL Earnings & Move CARL Dividends & DRIP CARL Insiders & 13F CARL Whale Options CARL Profit Sankey CARL News & Why
ROARABLE RATING BRIEF โ€ข RQD 41/100 (D-) โœ“ STAGE-C NUMBER FIREWALL VERIFIED

CARL โ€” Carlsmed Inc.: What the Facts Mean to a Prospective Investor

Engine: anthropic/claude-haiku-5.5
As of: 2026-11-02T15:36:37Z

Roarable Rating Brief: What This Means to a Prospective Investor

Per the Roarable RQD rating, CARL scores 41 out of 100 with a letter grade of D-, labeled "Roarable Sell โ€” Vulnerable Balance Sheet & Flow." The five pillars are: Fundamental Cash Engine at 8/20 (ROIC of -35% and FCF yield of -6.88%); Whale 13F Flow at 14/20 (institutional accumulation and options positioning); Insider Conviction at 3/20 (SEC Form 4 and Congressional PTR cluster flow); Macro Regime Fit at 8/20 (Beta of 1.0 and sector sensitivity); and Forensic Balance Sheet at 8/20 (Altman Z of 7.83, Piotroski F of 3/9, Debt/Equity of 0.5). For a prospective investor, the weakest pillar is insider conviction, and the cash-generation pillar is also deeply negative, meaning the company's reported losses and negative free cash flow are the central tradeoff. The strongest pillar relative to the others is institutional flow, which reflects positioning rather than operating performance. The strong Altman Z and balance sheet figures suggest near-term solvency is not the primary concern, but the negative returns on capital and negative FCF yield indicate the business is not currently self-funding. Upside would depend on operating losses narrowing; the source data does not establish a timeline for that.

Business

Carlsmed Inc. (CARL) is a NASDAQ-listed issuer in the Health Care sector, operating in the Medical/Dental Instruments industry. Per the company profile, it carries a market capitalization of $0.4B. Per the market data, its gross margin is 75.3%, indicating high gross profit relative to revenue. Revenue and operating detail for the business model beyond this are not available in source data.

Financial Trend

PeriodRevenueOperating IncomeNet IncomeEPSFCFCashDebt
FY 2025 (filed 2025-12-31)$50.5M$-30.6M$-29.6MN/A$-29.6M$85.8MN/A
FY 2024 (filed 2024-12-31)$27.2M$-24.1M$-24.3MN/A$-25.6M$40.1MN/A

Per the SEC financials, revenue grew from $27.2M to $50.5M between FY 2024 and FY 2025, while operating losses widened from $-24.1M to $-30.6M. Per the market data, operating margin is -60% and net margin is -58.7%, with ROIC at -35%. Per the Roarable RQD rating, the Altman Z-Score is 7.83, the Piotroski F-Score is 3 of 9, and Debt/Equity is 0.5. Cash rose from $40.1M to $85.8M across the two periods, while FCF remained negative in both.

Recent Catalysts & News Wire Analysis

Per the recent news feed, five items were published, all from third-party aggregators:

  • Simply Wall St coverage of market action, institutional positioning, and fundamentals.
  • MarketBeat report on a consensus target price of $19.25.
  • Stock Titan report on a newly launched system that tailors spine-fusion plans and devices to patients.
  • TradingView preview citing a Q3'26 revenue estimate of 19.15M USD.
  • Two MarketBeat and Investing.com India reports on insider sales by COO Jeffrey Bertolini ($10,749 and 747 shares).

Risk watch items include the recurring insider selling reported across two items. Per the Butterfly Supply-Chain Graph, the supply chain is recorded as "NONE," and there are no proprietary signals.

Open Questions

  • What are the reported EPS, P/E, and EV/EBITDA figures, given that the source marks them unavailable?
  • What is the Debt figure for FY 2024 and FY 2025, given that both are marked N/A?
  • What drove the revenue increase from $27.2M to $50.5M, and what is the outlook for operating losses?
  • What is the basis and timing of the consensus target price of $19.25 cited in the news feed, given that analyst data is absent?
  • What is the scope and timing of the insider sales by the COO, relative to the RQD insider pillar score?

CARL Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for Carlsmed Inc. (CARL) โ€ข Click "Debate This Headline" to argue it in the Roar Pit below

๐Ÿ’ฌ Jump to CARL Debate Forum (3) โ†“
๐Ÿ”ฅ THE ROAR PIT โ€ข LIVE COMMUNITY DEBATE 3 Active Posts & Replies

CARL Bull vs. Bear Conversation Board โ€” What's Your Call at $14.95?

๐Ÿ‚ 33% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON CARL ๐Ÿป 67% BEARISH CONVICTION
1. Pick Your Side on CARL:
๐Ÿ’ก Tip: Back up your call with a price target or RQD metric to get upvoted to the top.
RO RoarDesk_Moderator Roarable Research Desk ๐Ÿป BEARISH ๐ŸŽฏ Target: $13.88 (-12.0%)
๐Ÿ“Œ Pinned Debate

๐Ÿ”ฅ Official Bull vs. Bear Debate: Is CARL (D- โ€ข RQD 41/100) a Buy at $15.77?

Welcome to the CARL (Carlsmed Inc.) Roar Pit. Current RQD Composite is 41/100 (Roarable Sell โ€” Vulnerable Balance Sheet & Flow) in Medical/Dental Instruments. Bulls point to operating leverage and sector positioning, while bears focus on macro rate sensitivity and margin execution. Pick your side (๐Ÿ‚ Bull or ๐Ÿป Bear) and drop your price target below.

SK SkepticalCFA Forensic Accounting Watch ๐Ÿป BEARISH ๐ŸŽฏ Target: $12.93 (-18.0%)
Spot @ $15.77

Pump the brakes on CARL โ€” check the valuation vs. margin headwinds

Everyone in here is repeating the bull case on CARL, but look at what you are paying: current EV/EBITDA multiples with 75.3% gross margins. Unless Carlsmed Inc. expands free cash flow yield next quarter, I would rather wait for a pullback closer to the 200-day moving average before touching this.

AL AlphaFlow_Cap Verified K Arena Trader ๐Ÿ‚ BULLISH ๐ŸŽฏ Target: $19.87 (+26.0%)
Spot @ $15.77

CARL cash flow & RQD setup is being underpriced by the Street here

Looking at the 5-pillar RQD breakdown on CARL, the market is fixating on short-term headline noise in Medical/Dental Instruments and ignoring the balance sheet and cash flow trajectory. At $15.77 (52-wk range $8.50 - $17.23), any beat on forward guidance forces shorts and underweight funds to chase.

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