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Castle Biosciences Inc. (CSTL) Stock Fundamental Analysis & AI Rating 2026

CSTL Nasdaq Services-Medical Laboratories DE CIK: 0001447362
Updated This Month • Analysis: Mar 23, 2026 • SEC Data: 2025-12-31
Combined AI Rating
SELL
78% Confidence
AGREEMENT
SELL
78% Conf
HOLD
78% Conf

📊 CSTL Key Takeaways

Revenue: $344.2M
Net Margin: -7.0%
Free Cash Flow: $28.3M
Current Ratio: 5.26x
Debt/Equity: 0.02x
EPS: $-0.83
AI Rating: SELL with 78% confidence
Castle Biosciences Inc. (CSTL) receives a SELL rating with 78% confidence from our AI fundamental analysis based on SEC 10-K filings. With revenue of $344.2M, net profit margin of -7.0%, and return on equity (ROE) of -5.1%, Castle Biosciences Inc. demonstrates mixed fundamentals in the Healthcare sector. Below is our complete CSTL stock analysis for 2026.

Is Castle Biosciences Inc. (CSTL) a Good Investment?

Claude

Castle Biosciences demonstrates strong revenue growth and excellent liquidity, but is severely unprofitable with negative operating and net margins that have dramatically deteriorated year-over-year. The company is burning through shareholder equity despite generating positive free cash flow, indicating unsustainable unit economics in its medical laboratory services business.

ChatGPT

Castle Biosciences shows mixed fundamentals: revenue is still growing and the company generates positive operating cash flow and free cash flow, but profitability has weakened sharply with very low gross margin and a return to net losses. The balance sheet is strong with high liquidity, substantial cash, and minimal debt, which supports resilience, but growth quality looks weaker until margins and earnings stabilize.

Why Buy Castle Biosciences Inc. Stock? CSTL Key Strengths

Claude
  • + Strong liquidity position with 5.26x current ratio and $116.7M cash reserves
  • + Positive free cash flow of $28.3M provides runway despite losses
  • + Revenue growth of 3.7% YoY shows market demand for services
  • + Low leverage with debt/equity of 0.02x provides financial flexibility
ChatGPT
  • + Strong balance sheet with $116.73M of cash, very low long-term debt, and debt/equity of just 0.02x
  • + Healthy liquidity profile with current ratio of 5.26x and quick ratio of 5.11x
  • + Positive operating cash flow of $64.35M and free cash flow of $28.33M despite reported net losses

CSTL Stock Risks: Castle Biosciences Inc. Investment Risks

Claude
  • ! Gross margin of only 5.7% is critically low for a services business, indicating severe cost structure problems
  • ! Net loss of $24.2M with deteriorating profitability (-232.4% YoY) shows worsening operational performance
  • ! Operating margin of -12.4% with negative interest coverage (-2518.2x) indicates inability to cover fixed costs
  • ! Unsustainable business model: positive FCF masks underlying operational losses that will deplete equity over time
ChatGPT
  • ! Profitability deteriorated materially, with net income down 232.4% YoY and operating margin at -12.4%
  • ! Gross margin is extremely weak at 5.7%, raising concerns about cost structure and earnings durability
  • ! Revenue growth of 3.7% YoY is modest relative to the margin pressure, suggesting weaker growth quality

Key Metrics to Watch

Claude
  • * Gross margin expansion - critical threshold is reaching 15%+ to support operations
  • * Path to operating profitability and timeline to positive EBITDA
  • * Operating expense reduction as percentage of revenue
  • * Cash burn rate and runway given current negative profitability trends
ChatGPT
  • * Gross margin and operating margin trend
  • * Operating cash flow and free cash flow consistency

Castle Biosciences Inc. (CSTL) Financial Metrics & Key Ratios

Revenue
$344.2M
Net Income
$-24.2M
EPS (Diluted)
$-0.83
Free Cash Flow
$28.3M
Total Assets
$578.6M
Cash Position
$116.7M

💡 AI Analyst Insight

Strong liquidity with a 5.26x current ratio provides a solid financial cushion.

CSTL Profit Margin, ROE & Profitability Analysis

Gross Margin 5.7%
Operating Margin -12.4%
Net Margin -7.0%
ROE -5.1%
ROA -4.2%
FCF Margin 8.2%

CSTL vs Healthcare Sector: How Castle Biosciences Inc. Compares

How Castle Biosciences Inc. compares to Healthcare sector averages

Net Margin
CSTL -7.0%
vs
Sector Avg 12.0%
CSTL Sector
ROE
CSTL -5.1%
vs
Sector Avg 15.0%
CSTL Sector
Current Ratio
CSTL 5.3x
vs
Sector Avg 2.0x
CSTL Sector
Debt/Equity
CSTL 0.0x
vs
Sector Avg 0.6x
CSTL Sector

Sector benchmarks are approximate industry averages. Actual sector performance may vary.

Is Castle Biosciences Inc. Stock Overvalued? CSTL Valuation Analysis 2026

Based on fundamental analysis, Castle Biosciences Inc. has mixed fundamental signals relative to the Healthcare sector in 2026.

Return on Equity
-5.1%
Sector avg: 15%
Net Profit Margin
-7.0%
Sector avg: 12%
Revenue Growth
N/A
Year-over-year
Debt/Equity
0.02x
Sector avg: 0.6x

Note: This is a fundamental analysis based on SEC filings. For P/E ratio, price targets, and market-based valuation, consult financial data providers. This is not investment advice.

Castle Biosciences Inc. Balance Sheet: CSTL Debt, Cash & Liquidity

Current Ratio
5.26x
Quick Ratio
5.11x
Debt/Equity
0.02x
Debt/Assets
18.6%
Interest Coverage
-2,518.24x
Long-term Debt
$10.1M

CSTL Revenue & Earnings Growth: 5-Year Financial Trend

CSTL 5-year financial data: Year 2021: Revenue $94.1M, Net Income -$10.3M, EPS $-0.54. Year 2022: Revenue $137.0M, Net Income -$31.3M, EPS $-1.24. Year 2023: Revenue $219.8M, Net Income -$67.1M, EPS $-2.58. Year 2024: Revenue $332.1M, Net Income -$67.1M, EPS $-2.58. Year 2025: Revenue $344.2M, Net Income -$57.5M, EPS $-2.14.
Revenue
Net Income
EPS (right axis)

5-Year Trend Summary: Castle Biosciences Inc.'s revenue has grown significantly by 266% over the 5-year period, indicating strong business expansion. The most recent EPS of $-2.14 indicates the company is currently unprofitable.

CSTL Revenue Growth, EPS Growth & YoY Performance

Revenue Growth
N/A
Year-over-year
Net Income Growth
N/A
Year-over-year
EPS Growth
N/A
Earnings per share
FCF Margin
8.2%
Free cash flow / Revenue

CSTL Quarterly Earnings & Performance

Quarterly financial performance data for Castle Biosciences Inc. including revenue, net income, and earnings per share.
Quarter Revenue Net Income EPS
Q3 2025 $83.0M -$501.0K $-0.02
Q2 2025 $86.2M -$2.5M $0.15
Q1 2025 $73.0M -$2.5M $-0.09
Q3 2024 $61.5M $2.3M $0.08
Q2 2024 $50.1M -$2.5M $0.22
Q1 2024 $42.0M -$2.5M $-0.09
Q3 2023 $37.0M -$1.6M $-0.26
Q2 2023 $34.8M -$1.6M $-0.06

Data sourced from SEC EDGAR 10-Q quarterly filings. Figures may represent quarterly or cumulative values.

Castle Biosciences Inc. Dividends, Buybacks & Capital Allocation

Operating Cash Flow
$64.3M
Cash generated from operations
Capital Expenditures
$36.0M
Investment in assets
Dividends
None
No dividend program

CSTL SEC Filings: Latest 10-K & 10-Q Analysis

Access official SEC EDGAR filings for Castle Biosciences Inc. (CIK: 0001447362)

📋 Recent SEC Filings

Date Form Document Action
Apr 8, 2026 4 xslF345X06/wk-form4_1775680461.xml View →
Apr 8, 2026 DEF 14A cstl-20260407.htm View →
Mar 30, 2026 4 xslF345X06/wk-form4_1774909763.xml View →
Mar 30, 2026 4 xslF345X06/wk-form4_1774909638.xml View →
Mar 19, 2026 4 xslF345X06/wk-form4_1773951683.xml View →

Frequently Asked Questions about CSTL

What is the AI rating for CSTL?

Castle Biosciences Inc. (CSTL) has a Combined AI Rating of SELL from Claude (SELL) and ChatGPT (HOLD) with 78% combined confidence, based on fundamental analysis of SEC EDGAR filings.

What are CSTL's key strengths?

Claude: Strong liquidity position with 5.26x current ratio and $116.7M cash reserves. Positive free cash flow of $28.3M provides runway despite losses. ChatGPT: Strong balance sheet with $116.73M of cash, very low long-term debt, and debt/equity of just 0.02x. Healthy liquidity profile with current ratio of 5.26x and quick ratio of 5.11x.

What are the risks of investing in CSTL?

Claude: Gross margin of only 5.7% is critically low for a services business, indicating severe cost structure problems. Net loss of $24.2M with deteriorating profitability (-232.4% YoY) shows worsening operational performance. ChatGPT: Profitability deteriorated materially, with net income down 232.4% YoY and operating margin at -12.4%. Gross margin is extremely weak at 5.7%, raising concerns about cost structure and earnings durability.

What is CSTL's revenue and growth?

Castle Biosciences Inc. reported revenue of $344.2M.

Does CSTL pay dividends?

Castle Biosciences Inc. does not currently pay dividends.

Where can I find CSTL SEC filings?

Official SEC filings for Castle Biosciences Inc. (CIK: 0001447362) including 10-K, 10-Q, and 8-K reports are available on SEC EDGAR.

What is CSTL's EPS?

Castle Biosciences Inc. has a diluted EPS of $-0.83.

How is the AI analysis conducted?

Two independent AI systems — Claude (Anthropic) and ChatGPT (OpenAI) — analyze SEC EDGAR filings including 10-K annual reports and 10-Q quarterly reports. Each AI evaluates financial health, profitability ratios, balance sheet strength, and growth metrics. The combined rating reflects both perspectives for balanced insights.

Is CSTL a good stock to buy right now?

Based on our AI fundamental analysis in April 2026, Castle Biosciences Inc. has a SELL rating with 78% confidence. Review the strengths and risks sections above before making a decision. This is not investment advice.

Is CSTL stock overvalued or undervalued?

Valuation metrics for CSTL: ROE of -5.1% (sector avg: 15%), net margin of -7.0% (sector avg: 12%). Compare these metrics with sector averages to assess valuation.

Should I buy CSTL stock in 2026?

Our dual AI analysis gives Castle Biosciences Inc. a combined SELL rating for 2026. Revenue is data pending, with profitability at or below sector average. Always conduct your own research.

What is CSTL's free cash flow?

Castle Biosciences Inc.'s operating cash flow is $64.3M, with capital expenditures of $36.0M. FCF margin is 8.2%.

How does CSTL compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin -7.0% (avg: 12%), ROE -5.1% (avg: 15%), current ratio 5.26 (avg: 2).

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Disclaimer: This analysis is generated by Claude AI (Anthropic) and ChatGPT (OpenAI) based on publicly available SEC EDGAR filings. It does not include stock price data and should not be considered financial advice. All fundamental data is sourced from SEC public domain filings. Always conduct your own research and consult with a qualified financial advisor before making investment decisions.
Data Source: SEC EDGAR | Analysis Date: Mar 23, 2026 | Data as of: 2025-12-31 | Powered by Claude AI