CASTLE BIOSCIENCES INC
Business
Castle Biosciences is a molecular diagnostics company that develops and offers proprietary gene expression profile and spatialomics tests to aid clinicians in the diagnosis and treatment of dermatologic cancers, Barrett's esophagus, atopic dermatitis, and uveal melanoma. Its test portfolio includes DecisionDx-Melanoma, TissueCypher, DecisionDx-SCC, MyPath Melanoma, DecisionDx-UM, and AdvanceAD-Tx, distributed primarily through direct sales and marketing to U.S. dermatology, gastroenterology, and ophthalmology markets. Revenue is generated primarily from third-party payor reimbursement, including Medicare and commercial insurers, with laboratories in Phoenix, Arizona and Pittsburgh, Pennsylvania.
Summary from 10-K filed 2026-02-26
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| NET REVENUES | 344 | 332 | 220 | 137 | 94 | |
| Cost of sales (exclusive of amortization of acquired intangible assets) | 71 | 60 | 45 | 32 | 16 | |
| Research and development | 52 | 52 | 54 | 45 | 30 | |
| Selling, general and administrative | 229 | 200 | 180 | 143 | 87 | |
| Amortization of acquired intangible assets | 35 | 11 | 9 | 8 | 2 | |
| Total operating expenses, net | 387 | 323 | 288 | 210 | 134 | |
| Operating (loss) income | −43 | 9 | −68 | −73 | −40 | |
| Interest income | 12 | 13 | 11 | 4 | 68,000 | |
| Net gains on equity securities | 1 | 555,000 | 0 | — | — | |
| Interest expense | −86,000 | −577,000 | −11,000 | −17,000 | — | |
| Other income | 144,000 | 0 | 0 | — | — | |
| (Loss) income before income taxes | −30 | 22 | −57 | −69 | −40 | |
| Income tax (benefit) expense | −5 | 3 | 101,000 | −2 | −9 | |
| Net (loss) income | −24 | 18 | −57 | −67 | −31 | |
| Basic (in dollars per share) | −0.83 | 0.66 | −2.14 | −2.58 | −1.24 | |
| Diluted (in dollars per share) | −0.83 | 0.62 | −2.14 | −2.58 | −1.24 | |
| Basic (in shares) | 29 | 28 | 27 | 26 | 25 | |
| Diluted (in shares) | 29 | 29 | 27 | 26 | 25 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 117 | 120 | 99 | 123 | 330 | |
| Marketable investment securities | 183 | 173 | 144 | — | — | |
| Accounts receivable, net | 43 | 51 | 38 | 23 | 17 | |
| Inventory | 10 | 8 | 8 | 4 | 2 | |
| Prepaid expenses and other current assets | 8 | 8 | 6 | 6 | 5 | |
| Total current assets | 361 | 360 | 296 | 292 | 354 | |
| Long-term accounts receivable, net | 2 | 918,000 | 1 | 1 | 1 | |
| Property and equipment, net | 97 | 51 | 25 | 14 | 10 | |
| Operating lease assets | 15 | 12 | 12 | 12 | 7 | |
| Goodwill and other intangible assets, net | 100 | 106 | 117 | 126 | 89 | |
| Other assets long-term | 4 | 1 | 1 | 1 | 2 | |
| Total assets | 579 | 531 | 453 | 447 | 463 | |
| Accounts payable | 19 | 7 | 10 | 5 | 3 | |
| Accrued compensation | 38 | 33 | 29 | 24 | 15 | |
| Contingent consideration | 1 | 0 | — | — | — | |
| Operating lease liabilities | 1 | 2 | 1 | 2 | 1 | |
| Current portion of long-term debt | 417,000 | 278,000 | 0 | — | — | |
| Other accrued and current liabilities | 9 | 8 | 7 | 5 | 6 | |
| Total current liabilities | 69 | 49 | 48 | 36 | 25 | |
| Long-term debt | 10 | 10 | 0 | — | — | |
| Noncurrent portion of contingent consideration | 2 | 0 | — | 0 | 18 | |
| Noncurrent operating lease liabilities | 25 | 14 | 14 | 12 | 7 | |
| Noncurrent finance lease liabilities | 314,000 | 311,000 | 25,000 | — | — | |
| Deferred tax liability | 2 | 2 | 206,000 | 428,000 | 635,000 | |
| Total liabilities | 108 | 75 | 62 | 48 | 51 | |
| Commitments and Contingencies (Note 12) | — | — | — | — | — | |
| Preferred stock, $0.001 par value per share; 10,000,000 shares authorized as of December 31, 2025 and 2024; no shares issued and outstanding as of December 31, 2025 and 2024 | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $0.001 par value per share; 200,000,000 authorized as of December 31, 2025 and 2024; 29,686,314 and 28,483,195 shares issued and outstanding as of December 31, 2025 and 2024, respectively | 30,000 | 28,000 | 27,000 | 27,000 | 25,000 | |
| Additional paid-in capital | 695 | 656 | 609 | 560 | 505 | |
| Accumulated deficit | −224 | −200 | −218 | −161 | −94 | |
| Accumulated other comprehensive income | 267,000 | 230,000 | 136,000 | −381,000 | 0 | |
| Total stockholders equity | 471 | 456 | 391 | 399 | 412 | |
| Total liabilities and stockholders equity | 579 | 531 | 453 | 447 | 463 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 41 | 16 | 12 | 11 | 3 | |
| Stock-based compensation expense | 46 | 50 | 51 | 36 | 22 | |
| Deferred income taxes | −6 | 1 | −223,000 | −2 | −9 | |
| Accretion of discounts on marketable investment securities | −4 | −7 | −5 | −1 | 0 | |
| Other | 153,000 | 268,000 | 635,000 | 158,000 | 0 | |
| Accounts receivable | 7 | −13 | −15 | −6 | −5 | |
| Prepaid expenses and other current assets | −544,000 | −1 | −435,000 | −1 | 617,000 | |
| Inventory | −2 | −193,000 | −4 | −2 | 327,000 | |
| Operating lease assets | 1 | 1 | −258,000 | 991,000 | 931,000 | |
| Other assets | −366,000 | 262,000 | −330,000 | 618,000 | −180,000 | |
| Accounts payable | 3 | −4 | 6 | 582,000 | −182,000 | |
| Operating lease liabilities | −1 | −1 | 852,000 | −608,000 | −852,000 | |
| Accrued compensation | 6 | 4 | 5 | 8 | 6 | |
| Other accrued and current liabilities | 870,000 | 320,000 | 2 | −963,000 | 2 | |
| Net cash provided by (used in) operating activities | 64 | 65 | −6 | −42 | −19 | |
| Purchases of marketable investment securities | −189 | −206 | −189 | −135 | 0 | |
| Proceeds from maturities of marketable investment securities | 189 | 184 | 187 | 0 | — | |
| Proceeds from sale of equity securities | 2 | 0 | 0 | — | — | |
| Purchases of debt securities classified as held-to-maturity | −6 | 0 | 0 | — | — | |
| Asset acquisition, net of cash and cash equivalents acquired | −19 | 0 | 0 | 547,000 | −63 | |
| Issuance of loan receivable | −2 | 0 | 0 | — | — | |
| Purchases of property and equipment | −36 | −28 | −14 | −6 | −3 | |
| Proceeds from sale of property and equipment | 45,000 | 18,000 | 13,000 | 195,000 | 10,000 | |
| Net cash used in investing activities | −60 | −50 | −16 | −167 | −67 | |
| Proceeds from exercise of common stock options | 2 | 2 | 269,000 | 833,000 | 4 | |
| Payment of employees taxes on vested restricted stock units | −12 | −9 | −5 | −2 | −781,000 | |
| Proceeds from contributions to the employee stock purchase plan | 2 | 3 | 3 | 2 | 2 | |
| Repayment of principal portion of finance lease liabilities | −115,000 | −97,000 | −142,000 | −122,000 | −8,000 | |
| Proceeds from lease incentives received | 190,000 | 0 | 0 | — | — | |
| Proceeds from issuance of term debt | 0 | 10 | 0 | 0 | — | |
| Net cash (used in) provided by financing activities | −7 | 6 | −2 | 2 | 5 | |
| NET CHANGE IN CASH AND CASH EQUIVALENTS | −3 | 21 | −24 | −207 | −80 | |
| Interest paid, net of amounts capitalized | 59,000 | 434,000 | 11,000 | 16,000 | 1,000 | |
| Income taxes, net | 2 | 3 | 198,000 | 120,000 | 16,000 | |
| Accrued purchases of property and equipment | 11 | 2 | 1 | 1 | 33,000 | |
| Property and equipment acquired with tenant improvement allowance | 7 | 1 | 1 | 51,000 | 54,000 | |
| Operating lease assets obtained in exchange for lease obligations | 5 | 607,000 | 2 | 6 | 3 | |
| Decrease in operating lease assets with corresponding change in lease liabilities | −104,000 | −7,000 | 0 | 0 | — | |
| Finance lease assets obtained in exchange for lease obligations | 119,000 | 218,000 | 0 | 0 | — |
Filings
Material Events
Insiders
Institutional Holders
Frequently asked questions
What is CASTLE BIOSCIENCES INC's CIK number?
CASTLE BIOSCIENCES INC's SEC CIK number is 0001447362 (1447362). The CIK (Central Index Key) is the permanent identifier the SEC assigns to every EDGAR filer — unlike a ticker symbol, it never changes.
Where can I find CASTLE BIOSCIENCES INC's SEC filings?
All of CASTLE BIOSCIENCES INC's EDGAR filings — 10-K annual reports, 10-Q quarterly reports, 8-K material events, and insider transactions — are listed on this page, sourced live from SEC EDGAR.
When did CASTLE BIOSCIENCES INC last report earnings?
CASTLE BIOSCIENCES INC (CSTL) most recently filed an earnings 8-K with the SEC on May 6, 2026, furnishing its results under Item 2.02 (Results of Operations and Financial Condition). The earnings press release is attached to that filing (accession 0001628280-26-031255). This is CASTLE BIOSCIENCES INC's most recent earnings filing of record — not a forecast of its next earnings date.
What is CASTLE BIOSCIENCES INC's most recent earnings 8-K?
CASTLE BIOSCIENCES INC's latest earnings 8-K (Item 2.02) was filed May 6, 2026 under accession 0001628280-26-031255. It carries the quarterly or annual earnings press release — the earliest official, SEC-filed version of the results.
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