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Fiscal Wizard · Single-issue tearsheet

CARL / Jun 21, 2026 Run #7465

CARL

Carlsmed, Inc.

Carlsmed, Inc., a commercial-stage medical technology company, designs, manufactures, and markets AI-enabled personalized spine surgery solutions. The company develops aprevo, a comprehensive technology platform for spine fusion surgery procedures. Its aprevo platform includes proprietary surgical planning software, using outcomes-based algorithms that are aided with artificial intelligence, and resulting custom-built, anatomically designed vertebral interbody implants. The company was incorporated in 2018 and is based in Carlsbad, California.

Composite verdict

F 16.4 / 100
Bearish setup · Trend Following 12 drivers · 4 gates blocking
  • Rate of Change
  • Parabolic SAR Flip
  • Chaikin Money Flow
Consider long put target Δ ~0.70 · ~35 DTE Bearish setup, Grade A → ITM put target

Industry rank 36th of 47 in Health Information Services

rescore-sweep
Technical synthesisRegime: range
Bull 0%Evidence: High · 19 signals100% Bear
Momentum Bearish 4Mean-reversion Neutral 47

No notable composite patterns — the signals don't cluster into a named setup right now.

Where value comes from

Earnings power doesn't cover the capital structure (high debt) — the EPV decomposition isn't meaningful for this name.

Fundamentals Weak

32.8 / 100

Score-bearing fundamentals shown here exclude gate-only risk checks. · 35 metrics shown.

Strongest
Weakest
EPS Growth (YoY) 100
Free Cash Flow Yield 0
Gross Margin 75
FCF Margin 10
EV/Sales 75
P/S Ratio 25

Technicals Bearish

0.0 / 100

Bearish setup leads (Rate of Change, Parabolic SAR Flip, Chaikin Money Flow); bulls gated by guards. · 43 signals shown.

Strongest
Weakest
Parabolic SAR Flip 7
Rate of Change 7
Chaikin Money Flow 9

Risk Gates

4 blocking 6 caution

4 guards active, 17 signals gated.

Interest Coverage Blocking

Weak interest coverage blocks bullish signals — debt-service risk.

ADX Trend Weakness Blocking

Weak trend strength blocks trend-following signals in either direction.

MA Crossover Blocking

Blocks counter-regime signals only when the MA crossover agrees with the long-term regime.

Regime Filter Blocking

Blocks signals that oppose the long-term moving-average regime.

Breakdown

Look under the hood

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Pick a category, above, to crack it open.

Every chip in either subscore card drills into the metrics or signals that fed it — including the formula, the threshold band, and what the current reading means for CARL.