Growth Metrics

Carlsmed (CARL) Free Cash Flow (2024 - 2026)

Carlsmed posted quarterly Free Cash Flow of -$13.1 million for Q1 2026, down 58.05% year-on-year from -$31.3 million in Q1 2025, and down 143.49% on a QoQ basis from -$5.4 million in Q4 2025.

Carlsmed (CARL) has 3 years of Free Cash Flow data on file, last reported at -$13.1 million in Q1 2026.

  • For the quarter ending Q1 2026, Free Cash Flow fell 58.05% year-over-year to -$13.1 million; the trailing twelve-month figure through Mar 2026 stood at -$34.4 million (down 71.99% YoY), and the FY2025 full-year result was -$29.6 million, down 16.31% from the prior year.
  • Free Cash Flow for Q1 2026 stood at -$13.1 million, down from -$5.4 million in the prior quarter.
  • Across five years, Free Cash Flow topped out at -$4.1 million in Q4 2024 and bottomed at -$13.1 million in Q1 2026.
  • The 3-year median for Free Cash Flow is -$7.6 million (2024), against an average of -$7.8 million.
  • The widest annual swing landed in 2025, when Free Cash Flow slipped 12.92%; it then plunged 58.05% in 2026.
  • A 3-year view of Free Cash Flow shows it stood at -$4.1 million in 2024, then plunged by 32.08% to -$5.4 million in 2025, then sank by 143.49% to -$13.1 million in 2026.
  • The last three Free Cash Flow figures came in at -$13.1 million (Q1 2026), -$5.4 million (Q4 2025), and -$8.6 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 Veeva Systems 30.85 Bn 24.28 Bn 622.47 Mn 99.82 Mn
2 BrightSpring Health Services 12.29 Bn 11.41 Bn 482.22 Mn 119.28 Mn
3 Healthequity 7.80 Bn 7.48 Bn 256.31 Mn 81.60 Mn
4 Hinge Health 4.82 Bn 4.51 Bn 154.23 Mn 43.06 Mn
5 Doximity 4.21 Bn 3.46 Bn 125.97 Mn 107.27 Mn
6 Waystar Holding 4.18 Bn 4.03 Bn 268.04 Mn 69.59 Mn
7 10x Genomics 3.78 Bn 3.24 Bn 106.18 Mn 26.00 Mn
8 Privia Health 2.65 Bn 2.28 Bn 595.71 Mn -49.47 Mn
9 Omnicell 1.95 Bn 1.78 Bn 140.36 Mn 42.07 Mn
10 Carlsmed 298.68 Mn 201.48 Mn 12.43 Mn -13.13 Mn

Historic Data

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DateValue
Mar 31, 2026 -13.13 Mn
Mar 31, 2026 -13.13 Mn
Dec 31, 2025 -5.39 Mn
Dec 31, 2025 -5.39 Mn
Sep 30, 2025 -8.62 Mn
Sep 30, 2025 -8.62 Mn
Jun 30, 2025 -7.30 Mn
Jun 30, 2025 -7.30 Mn
Mar 31, 2025 -8.31 Mn
Mar 31, 2025 -8.31 Mn
Dec 31, 2024 -4.08 Mn
Dec 31, 2024 -4.08 Mn
Sep 30, 2024 -7.63 Mn
Sep 30, 2024 -7.63 Mn