{"transactions":[{"id":730957,"issuer":{"id":5551,"kind":"organization","name":"CARLSMED, INC.","symbol":"CARL"},"owners":[{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":1,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2026-06-22T10:01:41.000Z","date":"2026-06-03","kind":"grant","planned":false,"acquired":true,"shares":13698,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"shares","element":"transactionShares","label":"F1","text":"Constitutes an award of restricted stock units (\"RSUs\") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. The RSUs will vest in full on the earlier of (i) the day before the Issuer's 2027 annual meeting of stockholders or (ii) June 3, 2027, subject, in all cases, to the Reporting Person's continued service as a member of the Board of Directors through such vesting date."}],"balance_after":31031,"source":{"system":"sec-edgar","filing":"0001193125-26-276599","document":"ownership.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000119312526276599/ownership.xml","form_type":"4"}},{"id":1082347,"issuer":{"id":5551,"kind":"organization","name":"CARLSMED, INC.","symbol":"CARL"},"owners":[{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":1,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Series B Preferred Stock","published_at":"2025-07-25T00:25:31.000Z","date":"2025-07-24","kind":"exercise","planned":false,"acquired":false,"shares":28900,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"derivative.exercise_price","element":"conversionOrExercisePrice","label":"F3","text":"These securities were previously reported on a Form 3 filed by the Reporting Person as preferred stock of the Issuer. Each share of preferred stock of the Issuer converted into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1-to-1 basis without payment of additional consideration. The preferred stock has no expiration date."},{"field":"price","element":"transactionPricePerShare","label":"F3","text":"These securities were previously reported on a Form 3 filed by the Reporting Person as preferred stock of the Issuer. Each share of preferred stock of the Issuer converted into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1-to-1 basis without payment of additional consideration. The preferred stock has no expiration date."},{"field":"derivative.exercise_date","element":"exerciseDate","label":"F3","text":"These securities were previously reported on a Form 3 filed by the Reporting Person as preferred stock of the Issuer. Each share of preferred stock of the Issuer converted into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1-to-1 basis without payment of additional consideration. The preferred stock has no expiration date."},{"field":"derivative.expiration_date","element":"expirationDate","label":"F3","text":"These securities were previously reported on a Form 3 filed by the Reporting Person as preferred stock of the Issuer. Each share of preferred stock of the Issuer converted into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1-to-1 basis without payment of additional consideration. The preferred stock has no expiration date."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F4","text":"Stock held by PMY Partners LP."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F5","text":"Reporting Person is the sole general partner of PMY Partners L.P. and has voting and dispositive power over the stock held by PMY Partners L.P."}],"balance_after":0,"derivative":{"underlying":"Common Stock","underlying_shares":28900},"source":{"system":"sec-edgar","filing":"0000950170-25-098528","document":"ownership.xml","document_sequence":1,"table":"derivative","row_type":"transaction","position":5,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000095017025098528/ownership.xml","form_type":"4"}},{"id":1082346,"issuer":{"id":5551,"kind":"organization","name":"CARLSMED, INC.","symbol":"CARL"},"owners":[{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":1,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2025-07-25T00:25:31.000Z","date":"2025-07-24","kind":"purchase","planned":false,"acquired":true,"shares":53333,"price":15,"value":799995.0,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"shares","element":"transactionShares","label":"F8","text":"Includes 53,333 shares of the Issuer's common stock purchased by the Young Family Trust dtd 04/13/1998 Nancy Halsey Young & Philip Young, Trustees (the \"Trust\") in the Issuer's initial public offering at the public offering price of $15.00 per share. The purchase was made directly from the underwriters in connection with the offering."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F9","text":"Stock held by the Trust."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F10","text":"Reporting Person is a trustee of the Trust and has voting and dispositive power over the stock held by the Trust."}],"balance_after":53333,"source":{"system":"sec-edgar","filing":"0000950170-25-098528","document":"ownership.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":4,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000095017025098528/ownership.xml","form_type":"4"}},{"id":1082345,"issuer":{"id":5551,"kind":"organization","name":"CARLSMED, INC.","symbol":"CARL"},"owners":[{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":1,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2025-07-25T00:25:31.000Z","date":"2025-07-24","kind":"purchase","planned":false,"acquired":true,"shares":6666,"price":15,"value":99990.0,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"shares","element":"transactionShares","label":"F6","text":"Includes 6,666 shares of the Issuer's common stock purchased by PMY Partners L.P. in the Issuer's initial public offering at the public offering price of $15.00 per share. The purchase was made directly from the underwriters in connection with the offering."},{"field":"balance_after","element":"sharesOwnedFollowingTransaction","label":"F7","text":"(7)\tIncludes (i) 6,666 shares of the Issuer's common stock purchased by PMY Partners L.P. in the Issuer's initial public offering at the public offering price of $15.00 per share, and (ii) 28,900 shares of common stock issued to PMY Partners L.P. upon the conversion of outstanding preferred stock on a 1-to-1 basis, immediately prior to the closing of the Issuer's public offering."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F4","text":"Stock held by PMY Partners LP."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F5","text":"Reporting Person is the sole general partner of PMY Partners L.P. and has voting and dispositive power over the stock held by PMY Partners L.P."}],"balance_after":35566,"source":{"system":"sec-edgar","filing":"0000950170-25-098528","document":"ownership.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":3,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000095017025098528/ownership.xml","form_type":"4"}},{"id":1082344,"issuer":{"id":5551,"kind":"organization","name":"CARLSMED, INC.","symbol":"CARL"},"owners":[{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":1,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2025-07-25T00:25:31.000Z","date":"2025-07-24","kind":"exercise","planned":false,"acquired":true,"shares":28900,"ownership":{"direct":false,"nature":"See Footnotes"},"footnotes":[{"field":"price","element":"transactionPricePerShare","label":"F3","text":"These securities were previously reported on a Form 3 filed by the Reporting Person as preferred stock of the Issuer. Each share of preferred stock of the Issuer converted into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering on a 1-to-1 basis without payment of additional consideration. The preferred stock has no expiration date."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F4","text":"Stock held by PMY Partners LP."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F5","text":"Reporting Person is the sole general partner of PMY Partners L.P. and has voting and dispositive power over the stock held by PMY Partners L.P."}],"balance_after":28900,"source":{"system":"sec-edgar","filing":"0000950170-25-098528","document":"ownership.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":2,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000095017025098528/ownership.xml","form_type":"4"}},{"id":1082343,"issuer":{"id":5551,"kind":"organization","name":"CARLSMED, INC.","symbol":"CARL"},"owners":[{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":1,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":true,"officer":false,"ten_percent_owner":false,"other":false}}],"security":"Common Stock","published_at":"2025-07-25T00:25:31.000Z","date":"2025-07-22","kind":"grant","planned":false,"acquired":true,"shares":17333,"price":0,"value":0.0,"ownership":{"direct":true},"footnotes":[{"field":"shares","element":"transactionShares","label":"F1","text":"Constitute an award of restricted stock units (\"RSUs\") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. The RSUs will vest in equal annual installments over three years."},{"field":"shares","element":"transactionShares","label":"F2","text":"Includes 17,333 unvested restricted stock units convertible into approximately 17,333 shares of the Issuer's common stock."},{"field":"balance_after","element":"sharesOwnedFollowingTransaction","label":"F1","text":"Constitute an award of restricted stock units (\"RSUs\") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. The RSUs will vest in equal annual installments over three years."},{"field":"balance_after","element":"sharesOwnedFollowingTransaction","label":"F2","text":"Includes 17,333 unvested restricted stock units convertible into approximately 17,333 shares of the Issuer's common stock."}],"balance_after":17333,"source":{"system":"sec-edgar","filing":"0000950170-25-098528","document":"ownership.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":1,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000095017025098528/ownership.xml","form_type":"4"}},{"id":3768121,"issuer":{"id":1186,"kind":"organization","name":"Inspire Medical Systems, Inc.","symbol":"INSP"},"owners":[{"id":162493,"kind":"organization","name":"Presidio Management Group IX, L.L.C.","position":1,"cik":"0001527715","reported_name":"Presidio Management Group IX, L.L.C.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":162494,"kind":"organization","name":"U S Venture Partners IX L P","position":2,"cik":"0001309185","reported_name":"U S Venture Partners IX L P","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":89572,"kind":"person","name":"FEDERMAN IRWIN","position":3,"cik":"0001192391","reported_name":"FEDERMAN IRWIN","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":145213,"kind":"person","name":"KRAUSZ STEVEN M","position":4,"cik":"0001190636","reported_name":"KRAUSZ STEVEN M","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":140168,"kind":"person","name":"LIDDLE DAVID E","position":5,"cik":"0001212726","reported_name":"LIDDLE DAVID E","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":145215,"kind":"person","name":"Matteucci Paul A","position":6,"cik":"0001370817","reported_name":"Matteucci Paul A","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":29762,"kind":"person","name":"ROOT JONATHAN D","position":7,"cik":"0001225480","reported_name":"ROOT JONATHAN D","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":8,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2018-11-14T01:13:05.000Z","date":"2018-11-08","kind":"other","acquired":true,"shares":18212,"ownership":{"direct":false,"nature":"Directly owned by Philip Young"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents a pro-rata, in-kind distribution by U.S. Venture Partners IX, L.P. 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Such persons and entities disclaim beneficial ownership of shares held by USVP IX, except to the extent of any proportionate pecuniary interest therein."}],"balance_after":18212,"source":{"system":"sec-edgar","filing":"0001548538-18-000007","document":"edgar.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":9,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000154853818000007/edgar.xml","form_type":"4"}},{"id":3768120,"issuer":{"id":1186,"kind":"organization","name":"Inspire Medical Systems, Inc.","symbol":"INSP"},"owners":[{"id":162493,"kind":"organization","name":"Presidio Management Group IX, L.L.C.","position":1,"cik":"0001527715","reported_name":"Presidio Management Group IX, L.L.C.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":162494,"kind":"organization","name":"U S Venture Partners IX L P","position":2,"cik":"0001309185","reported_name":"U S Venture Partners IX L P","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":89572,"kind":"person","name":"FEDERMAN IRWIN","position":3,"cik":"0001192391","reported_name":"FEDERMAN IRWIN","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":145213,"kind":"person","name":"KRAUSZ STEVEN M","position":4,"cik":"0001190636","reported_name":"KRAUSZ STEVEN M","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":140168,"kind":"person","name":"LIDDLE DAVID E","position":5,"cik":"0001212726","reported_name":"LIDDLE DAVID E","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":145215,"kind":"person","name":"Matteucci Paul A","position":6,"cik":"0001370817","reported_name":"Matteucci Paul A","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":29762,"kind":"person","name":"ROOT JONATHAN D","position":7,"cik":"0001225480","reported_name":"ROOT JONATHAN D","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":8,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2018-11-14T01:13:05.000Z","date":"2018-11-08","kind":"other","acquired":true,"shares":18982,"ownership":{"direct":false,"nature":"Directly owned by Jonathan Root"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents a pro-rata, in-kind distribution by U.S. Venture Partners IX, L.P. 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Young, are managing members of PMG IX, and may be deemed to share voting and dispositive power over the shares held by USVP IX. Such persons and entities disclaim beneficial ownership of shares held by USVP IX, except to the extent of any proportionate pecuniary interest therein."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"This report is one of two reports each on a separate Form 4; however, these forms are related to the same transaction being filed by the reporting persons.  The shares are held of record by USVP IX.  Presidio Management Group IX, LLC (\"PMG IX\") is the general partner of USVP IX and may be deemed to have sole voting and dispositive power over the shares held by USVP IX. Casey Tansey, a director of the Issuer, and each of Irwin Federman, Steven M. Krausz, David E. Liddle, Paul A. Matteucci, Jonathan D. Root, and Philip M. Young, are managing members of PMG IX, and may be deemed to share voting and dispositive power over the shares held by USVP IX. Such persons and entities disclaim beneficial ownership of shares held by USVP IX, except to the extent of any proportionate pecuniary interest therein."}],"balance_after":18982,"source":{"system":"sec-edgar","filing":"0001548538-18-000007","document":"edgar.xml","document_sequence":1,"table":"nonDerivative","row_type":"transaction","position":8,"url":"https://www.sec.gov/Archives/edgar/data/1048637/000154853818000007/edgar.xml","form_type":"4"}},{"id":3768119,"issuer":{"id":1186,"kind":"organization","name":"Inspire Medical Systems, Inc.","symbol":"INSP"},"owners":[{"id":162493,"kind":"organization","name":"Presidio Management Group IX, L.L.C.","position":1,"cik":"0001527715","reported_name":"Presidio Management Group IX, L.L.C.","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":162494,"kind":"organization","name":"U S Venture Partners IX L P","position":2,"cik":"0001309185","reported_name":"U S Venture Partners IX L P","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":89572,"kind":"person","name":"FEDERMAN IRWIN","position":3,"cik":"0001192391","reported_name":"FEDERMAN IRWIN","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":145213,"kind":"person","name":"KRAUSZ STEVEN M","position":4,"cik":"0001190636","reported_name":"KRAUSZ STEVEN M","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":140168,"kind":"person","name":"LIDDLE DAVID E","position":5,"cik":"0001212726","reported_name":"LIDDLE DAVID E","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":145215,"kind":"person","name":"Matteucci Paul A","position":6,"cik":"0001370817","reported_name":"Matteucci Paul A","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":29762,"kind":"person","name":"ROOT JONATHAN D","position":7,"cik":"0001225480","reported_name":"ROOT JONATHAN D","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}},{"id":36490,"kind":"person","name":"YOUNG PHILIP M","position":8,"cik":"0001048637","reported_name":"YOUNG PHILIP M","relationship":{"director":false,"officer":false,"ten_percent_owner":true,"other":false}}],"security":"Common Stock","published_at":"2018-11-14T01:13:05.000Z","date":"2018-11-08","kind":"other","acquired":true,"shares":13356,"ownership":{"direct":false,"nature":"Directly owned by Paul Matteucci"},"footnotes":[{"field":"kind","element":"transactionCoding","label":"F1","text":"Represents a pro-rata, in-kind distribution by U.S. Venture Partners IX, L.P. 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Young, are managing members of PMG IX, and may be deemed to share voting and dispositive power over the shares held by USVP IX. Such persons and entities disclaim beneficial ownership of shares held by USVP IX, except to the extent of any proportionate pecuniary interest therein."},{"field":"ownership.nature","element":"natureOfOwnership","label":"F2","text":"This report is one of two reports each on a separate Form 4; however, these forms are related to the same transaction being filed by the reporting persons.  The shares are held of record by USVP IX.  Presidio Management Group IX, LLC (\"PMG IX\") is the general partner of USVP IX and may be deemed to have sole voting and dispositive power over the shares held by USVP IX. Casey Tansey, a director of the Issuer, and each of Irwin Federman, Steven M. Krausz, David E. Liddle, Paul A. Matteucci, Jonathan D. Root, and Philip M. Young, are managing members of PMG IX, and may be deemed to share voting and dispositive power over the shares held by USVP IX. 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