Castle Biosciences, Inc.

Castle Biosciences, Inc.

CSTLยทNASDAQ

$20.39

+3.4%
HealthcareMedical - Diagnostics & Research

Castle Biosciences, Inc., a commercial-stage diagnostics company, focuses to provide diagnostic and prognostic testing services for dermatological cancers. Its lead product is DecisionDx-Melanoma, a multi-gene expression profile (GEP) test to identify the risk of metastasis for patients diagnosed with invasive cutaneous melanoma. The company also offers DecisionDx-UM test, a proprietary GEP test that predicts the risk of metastasis for patients with uveal melanoma, a rare eye cancer; DecisionDx-SCC, a proprietary 40-gene expression profile test that uses an individual patient's tumor biology to predict individual risk of squamous cell carcinoma metastasis for patients with one or more risk factors; and DecisionDx DiffDx-Melanoma and myPath Melanoma, a proprietary GEP test to diagnose suspicious pigmented lesions. It offers test services through physicians and their patients. The company was founded in 2007 and is headquartered in Friendswood, Texas.

At a Glance

Live Snapshot
Market Cap$618.43M
EPS-0.8300
P/E Ratio-24.57
Earnings Date08/03/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

Medium confidence

Valuation multiple is compressed (P/E -24.6).

Valuation inputs: P/E -24.6, earnings yield N/A, momentum +3.5%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is soft (ROE -5.1%, ROIC -6.9%).

Profitability stack: net margin -7.0%, ROE -5.1%, ROIC -6.9%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Risk profile is balanced but has notable pressure points to monitor.

Risk factors: liabilities/assets +18.6%, momentum +3.5%, net margin -7.0%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

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Castle Biosciences, Inc. Market vs Earnings Trajectory

CSTL ยท NASDAQ

Loading price and EPS data...

Castle Biosciences, Inc.

Castle Biosciences, Inc. Fair Value Envelope

CSTL ยท NASDAQ

Our analysis suggests that CSTL has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $20.39, this represents a potential HIDDEN relative to our calculated worth for Castle Biosciences, Inc..

Intrinsic Value
Current Price: $20.39
3Y-68.0%
5Y+54.0%
10Y-34.0%
3Y+151.0%
5Y+449.0%
10Y+2403.0%
3Y-64.0%
5Y+135.0%
10Y+95.0%
3Y-254.0%
5Y+552.0%
10Y-626.0%
3Y-160.0%
5Y+454.0%
10Y-323.0%
3Y+29.0%
5Y+32.0%
10Y+5791.0%
Castle Biosciences, Inc.

Castle Biosciences, Inc. Profit Bridge

CSTL ยท NASDAQ
Revenue344.23M
Cost of Goods Sold (107.88M)
Gross Profit236.35M
Operating Expenses (279.16M)
Operating Income-42.81M
Interest Expense (86.00K)
Other Income/Expense13.30M
Pretax Income-29.51M
Income Tax (-5.36M)
Net Income-24.16M
Net Income
-24.16M

Profitability Analysis

Gross Margin

68.7%

Exceptional pricing power and cost management. The company retains over half of revenue after direct costs.

Operating Margin

-12.4%

Operating losses indicate the core business is unprofitable. Requires restructuring or revenue growth.

Net Profit Margin

-7.0%

Net losses indicate the company is burning cash. Sustainability depends on path to profitability.

Profitability Insight

Margin squeeze alert: Healthy gross margins but weak operating margins suggest excessive operating expenses. Cost optimization could unlock significant value.

68.66%
Gross Profit Margin
-16%
3Y-10.0%
5Y-19.0%
10Y+7.0%
-12.44%
Operating Profit Margin
-576%
3Y-77.0%
5Y+19.0%
10Y-84.0%
-7.02%
Net Profit Margin
-228%
3Y-86.0%
5Y-57.0%
10Y-92.0%
-5.13%
Return on Equity
-228%
3Y-69.0%
5Y+107.0%
10Y-106.0%
-4.18%
Return on Assets
-222%
3Y-72.0%
5Y+78.0%
10Y-97.0%
-6.85%
Return on Invested Capital
-552%
3Y-60.0%
5Y+338.0%
10Y-96.0%
CSTL

Castle Biosciences, Inc. Cash Conversion Engine

CSTL ยท NASDAQ
Net Income-24.16M
Depreciation & Amortization40.77M
Stock-Based Compensation45.89M
Change in Working Capital13.60M
Others-5.53M
Capital Expenditures-36.02M
Free Cash Flow28.33M

Cash Flow Quality Analysis

FCF Conversion Rate

-117.3%

Negative free cash flow despite positive earnings raises concerns about cash generation ability or heavy capital requirements.

CapEx Intensity

56.0%

Capital-intensive operations require significant reinvestment. Monitor whether CapEx is maintenance or growth-oriented.

FCF Growth Trend

-22.5%

Significant FCF decline raises concerns. Urgent review needed of operational performance and capital allocation.

Working Capital Impact

+$13.60M

Working capital inflow boosted cash flow. Efficient management of receivables, inventory, and payables contributing positively.

Cash Flow Quality Insight

Deteriorating cash generation: Both declining FCF and weak conversion rate signal fundamental challenges. Investigate margin pressure, rising costs, or working capital issues.

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Castle Biosciences, Inc. Funding & Solvency Profile

CSTL ยท NASDAQ
Cash & Cash Equivalents63.76M
Net Receivables42.26M
Inventory10.46M
Other Current Assets14.49M
Total Current Assets329 M
Property, Plant & Equipment115.36M
Goodwill & Intangible Assets97.35M
Long-Term Investments0.00
Other Non-Current Assets6.20M
Total Non-Current Assets122 M
Total Assets
547.80M

Financial Health Analysis

Current Ratio

6.75x

Excellent liquidity position. The company can easily cover its short-term obligations with substantial cushion.

Debt-to-Equity Ratio

0.19x

Conservative capital structure. The company relies primarily on equity financing, indicating low financial risk.

Working Capital

280 M

Strong working capital position provides significant operational flexibility and financial cushion.

Asset Composition

60% Current

Asset-light business model with high liquidity. Majority of assets are easily convertible to cash.

Financial Health Insight

Strong financial foundation: Excellent liquidity combined with conservative leverage suggests the company is well-positioned to weather economic uncertainties and fund growth opportunities.

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Castle Biosciences, Inc. Street Expectations Map

CSTL ยท NASDAQ

Wall Street analysts project that CSTL stock may rise significantly over the coming 12 months. The consensus 1-year price target stands at 44.80, with estimates ranging from a low of 35.00 to a high of 52.00.

Lowest Target
35.00
71.65%
Consensus Target
44.80
119.72%
Highest Target
52.00
155.03%

The consensus 1-year price target stands at 44.80, with estimates ranging from a low of 35.00 to a high of 52.00.

Analyst Consensus Analysis

Upside Potential

+119.7%

Substantial upside potential. Analysts see significant value gap, suggesting the stock may be materially undervalued at current levels.

Analyst Agreement

37.9% spread

Good consensus alignment. Moderate target spread reflects general agreement on value drivers with some variance in assumptions.

Analyst Conviction

High

Positive outlook with reasonable agreement. Analysts generally optimistic about prospects with manageable uncertainty.

Market Sentiment Insight

Monitor and evaluate: Current analyst consensus suggests limited conviction or near-term catalysts. Stay informed on company developments and reassess positioning as new information emerges.

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Castle Biosciences, Inc. Insider Positioning

CSTL ยท NASDAQ

During the last 12 months, insiders have sold $7.84M worth of CSTL shares, with no buying activity reported.

3 Months

Bought

0

0.00

Sold

117.9K

3.01M

Net Activity

-3.0M

-$3.01M

3-6 Months

Bought

0

0.00

Sold

80.4K

2.94M

Net Activity

-2.9M

-$2.94M

6-9 Months

Bought

0

0.00

Sold

52.9K

1.89M

Net Activity

-1.9M

-$1.89M

9-12 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

Top Buyers

No buying activity

Top Sellers

1
MDJ

Maetzold Derek J

Director, Officer: Pres. & Chief Exec. Officer

151.3K sharesโ€ข26 transactions

$4.54M

2
OKM

Oelschlager Kristen M

Officer: Chief Operating Officer

33.8K sharesโ€ข2 transactions

$1.25M

3
JTW

Juvenal Tobin W

Officer: Chief Commercial Officer

40.2K sharesโ€ข7 transactions

$1.24M

4
SF

Stokes Frank

Officer: Chief Financial Officer

21.2K sharesโ€ข4 transactions

$670K

5
CGB

Cole G Bradley

Director

4.7K sharesโ€ข1 transactions

$135K

Insider Activity Analysis

Net Insider Sentiment

Bearish

Strong bearish signal with $7.84M net selling. Heavy insider selling may indicate concerns about valuation or near-term prospects.

Buy/Sell Ratio

0.00:1

Very poor ratio. Heavy selling with minimal buying suggests insiders may be concerned about valuation or outlook.

Recent Trend (3 Months)

$3.01M

Heavy recent selling activity. Recent insider sales notably exceed purchasesโ€”may warrant investigation into company developments.

Insider Participation

High Selling

5 insider sellers vs. 0 buyers. Widespread selling across multiple insiders may signal concerns.

Insider Activity Insight

Multiple red flags: Heavy selling, numerous sellers, and continued recent selling create a concerning pattern. Investigate fundamental drivers and consider whether company guidance or industry conditions have deteriorated.

No Dividend Yield Data

CSTL has not reported any dividend yield values in the available annual periods.

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cstl Dividend History

CSTL
10Y CAGR +0%
Latest $0
Annual $0
Stable dividend payments
Last Period: +0%