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

CSTL Nasdaq Services-Medical Laboratories DE CIK: 0001447362
Update Pending • Analysis: May 8, 2026 • SEC Data: 2026-03-31
Combined AI Grade
C
72% Confidence
AGREEMENT
C
65% Conf
B
78% Conf

📊 CSTL Key Takeaways

Revenue: $83.7M
Net Margin: -17.4%
Free Cash Flow: $-34.6M
Current Ratio: 6.75x
Debt/Equity: 0.02x
EPS: $-0.49
AI Grade: C with 65% confidence
Castle Biosciences Inc. (CSTL) receives a C fundamental grade with 72% confidence from our AI analysis based on SEC 10-K filings. With revenue of $83.7M, net profit margin of -17.4%, and return on equity (ROE) of -3.1%, 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 exhibits a fundamental disconnect between revenue growth and profitability: 3.7% YoY revenue growth is insufficient to offset significant operating costs, resulting in negative operating cash flow of -$22.1M. Despite a strong balance sheet providing ~1.8 years of cash runway, the company's path to profitability remains unclear without substantial operational improvements or revenue acceleration.

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.

Castle Biosciences Inc. Key Strengths (CSTL)

Claude
  • + Strong balance sheet with minimal debt (0.02x debt-to-equity ratio) and $461.4M stockholders' equity
  • + Excellent liquidity position (6.75x current ratio) providing substantial operational runway
  • + Positive revenue growth of 3.7% YoY despite being unprofitable
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
  • ! Negative operating cash flow of -$22.1M indicating structural cash burn independent of accounting losses
  • ! Unprofitable operations with -22.0% operating margin and -17.4% net margin
  • ! Inadequate revenue growth rate relative to cost structure; cash reserves will deplete in ~1.8 years at current burn rate
  • ! Negative returns on equity (-3.1%) and assets (-2.7%) demonstrate capital destruction
  • ! Gross margin of 23.6% leaves insufficient room for profitability after operating expenses
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
  • * Operating cash flow trajectory - must return to positive to ensure sustainability
  • * Operating margin improvement - critical path to eventual profitability
  • * Revenue growth acceleration - requires material increase to justify current cost structure
ChatGPT
  • * Gross margin and operating margin trend
  • * Operating cash flow and free cash flow consistency

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

Revenue
$83.7M
Net Income
$-14.5M
EPS (Diluted)
$-0.49
Free Cash Flow
$-34.6M
Total Assets
$547.8M
Cash Position
$63.8M

💡 AI Analyst Insight

Strong liquidity with a 6.75x current ratio provides a solid financial cushion.

CSTL Profit Margin, ROE & Profitability Analysis

Gross Margin 23.6%
Operating Margin -22.0%
Net Margin -17.4%
ROE -3.1%
ROA -2.7%
FCF Margin -41.3%

CSTL vs Healthcare Sector: How Castle Biosciences Inc. Compares

How Castle Biosciences Inc. compares to Healthcare sector averages

Net Margin
CSTL -17.4%
vs
Sector Avg 12.0%
CSTL Sector
ROE
CSTL -3.1%
vs
Sector Avg 15.0%
CSTL Sector
Current Ratio
CSTL 6.7x
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
-3.1%
Sector avg: 15%
Net Profit Margin
-17.4%
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
6.75x
Quick Ratio
6.53x
Debt/Equity
0.02x
Debt/Assets
15.8%
Interest Coverage
-1,082.76x
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
-41.3%
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
Q1 2026 $83.7M -$14.5M $-0.49
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

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
-$22.1M
Cash generated from operations
Capital Expenditures
$12.5M
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
Jun 3, 2026 4 xslF345X06/wk-form4_1780517747.xml View →
Jun 1, 2026 4 xslF345X06/wk-form4_1780346927.xml View →
Jun 1, 2026 4 xslF345X06/wk-form4_1780346906.xml View →
Jun 1, 2026 4 xslF345X06/wk-form4_1780346887.xml View →
Jun 1, 2026 4 xslF345X06/wk-form4_1780346841.xml View →

Frequently Asked Questions about CSTL

What is the AI rating for CSTL?

Castle Biosciences Inc. (CSTL) has a Combined AI Grade of C from Claude (C) and ChatGPT (B) with 72% combined confidence, based on fundamental analysis of SEC EDGAR filings.

What are CSTL's key strengths?

Claude: Strong balance sheet with minimal debt (0.02x debt-to-equity ratio) and $461.4M stockholders' equity. Excellent liquidity position (6.75x current ratio) providing substantial operational runway. 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: Negative operating cash flow of -$22.1M indicating structural cash burn independent of accounting losses. Unprofitable operations with -22.0% operating margin and -17.4% net margin. 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 $83.7M.

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 $-0.49.

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 grade reflects both perspectives for balanced insights.

What is CSTL's fundamental grade?

Based on our AI fundamental analysis in June 2026, Castle Biosciences Inc. has a C grade with 72% confidence. Review the strengths and risks sections above for full context. This is not investment advice.

Is CSTL stock overvalued or undervalued?

Valuation metrics for CSTL: ROE of -3.1% (sector avg: 15%), net margin of -17.4% (sector avg: 12%). Compare these metrics with sector averages to assess valuation.

What is CSTL's AI grade for 2026?

Our dual AI analysis gives Castle Biosciences Inc. a combined C grade 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 $-22.1M, with capital expenditures of $12.5M. FCF margin is -41.3%.

How does CSTL compare to other Healthcare stocks?

Vs Healthcare sector averages: Net margin -17.4% (avg: 12%), ROE -3.1% (avg: 15%), current ratio 6.75 (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: May 8, 2026 | Data as of: 2026-03-31 | Powered by Claude AI