The market could use a few victories in the days ahead, which will be filled with more earnings, an election, and jobs data.
Why CARL Stock surged +3.01% Today — RQD Quant Desk Flash
Carlsmed Inc. (CARL) carries a Roarable Rating of D- (Sell) with 39/100 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.
Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer
20D Institutional Volume Accumulation (±11.5% realized swing band)
FRED Regime × Technicals: 83% of 52W Range • RSI-14 at 52.6 (NEUTRAL RANGE)
Dilution Drag (+2.48% YoY Shares) & executive Form 4 sales trim 16 pts from alignment
⚔️ Adversarial Opposing Case: What Could Spark a CARL Turnaround Squeeze
While CARL currently carries a cautious 39/100 (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.
Established market leader in Health Care with deep daily trading liquidity.
Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($15.03) and Max Pain ($16.56) forces dealer call-delta covering toward $18.09.
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.
Why CARL Stock surged +3.01% Today — RQD Quant Desk Flash
Carlsmed Inc. (CARL) surged +3.01% to $15.77, trading at 83% of its 52-week range ($8.5 – $17.23). Stretched risk/reward at current multiples (-35% return on capital) under elevated 10-year interest-rate pressure.
- ▸Technical Tape: Trading at 83% of its 52-week range ($8.5 – $17.23) with RSI-14 at 52.6 (NEUTRAL RANGE).
- ▸Volatility Profile: Historical 20-day realized swing band of ±11.5% around $15.77 (no active unusual options sweep snapshot on file).
- ▸Fundamental Anchor: Roarable D- (Sell) backed by 75.3% gross margin and $0 annual free cash flow.
Haley Stevens had lost the Democratic nomination for Senate in Michigan to Abdul El-Sayed earlier this year.
Israeli strikes kill eight people in Gaza - medics say Reuters
Russia's FSB says minor detained over park attack threat after US tip-off Reuters
Iran, Qatari mediators hold third day of talks to end US-Iran war Reuters
Qatar surges, bucking Gulf market slide on Iran war concerns Reuters
OPEC+ keeps December oil output targets steady ahead of tougher call for 2027 Reuters
German ministers pledge tough action after rioters damage stores in Frankfurt Reuters
Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring CARL)
- ✓Walkthrough of CARL's RQD Radar, SEC cash-conversion gap & downside invalidation levels
- ✓3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
- ✓Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks
CARL Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure
Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).
vs. +6.0% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).
No active Ellis Vennor swing setup published on CARL today. View full Setup Ledger →
No direct multi-tier Butterfly edges indexed yet for CARL. Explore sector supply chains on /butterfly.
📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (CARL)
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 #672 by composite RQD confidence (39/100, 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. OFIX currently holds the highest overall quantitative score in the immediate peer group at 55/100 (D+) compared with CARL at 39/100 (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- | 39/100 | — | 75.3% | -35.0% | +3.01% | $430.6M | Benchmark Subject |
| SI Shoulder Innovations Inc. | D- | 42/100 | — | 76.5% | -16.1% | +4.93% | $425.5M | /si-vs-carl → |
| OFIX Orthofix Medical Inc. | D+ | 55/100 | — | 68.8% | -12.2% | +1.99% | $417.1M | /ofix-vs-carl → |
| NPCE Neuropace Inc. | E | 30/100 | — | 77.2% | -23.0% | +0.62% | $446.6M | /npce-vs-carl → |
| SSII SS Innovations International Inc. | D- | 39/100 | — | 46.0% | -18.5% | -2.46% | $477.2M | /ssii-vs-carl → |
2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2024–FY2025)
SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001794546In 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 | — |
| FY2024 (FY) | 2024-12-31 | $27.2M | -$24.3M | -$25.5M | -$25.6M | $51.8M | — |
3. CARL Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)
✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLEDIs CARL stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
As of 2026-11-01, Carlsmed Inc. (NASDAQ: CARL) is rated D- (Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 39/100 at a spot price of $15.77 (+3.01% 1D, market cap $430.6M). Pillar breakdown: Fundamental Cash Engine 8/20, Institutional 13F & Options Flow 11/20, Executive Insider Alignment 8/20, FRED Macro Regime Fit 9/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, CARL ranks #672 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- (39/100 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 (42/100 RQD, P/E N/A, ROIC -16.1%, cap $425.5M) and OFIX (Orthofix Medical Inc.) posts a D+ grade (55/100 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 $15.77 (+3.01% on volume of 58,644 shares), positioning the stock +4.92% above its 50-day simple moving average ($15.03) and +27.18% above its 200-day simple moving average ($12.40). Across its 52-week range of $8.50 to $17.23, CARL sits at the 83.3% percentile with a 14-day RSI of 52.6 (NEUTRAL RANGE) and an implied next-earnings move of ±11.5% ($13.96 to $17.58).
CARL Investor FAQ & Complete 8-Part Research Index
100% OPEN ACCESS • SEC EDGAR × CBOE × FREDWhy is CARL stock moving today?
Why CARL Stock surged +3.01% Today — RQD Quant Desk Flash. Stretched risk/reward at current multiples (-35% return on capital) under elevated 10-year interest-rate pressure.