CSTL
Castle Biosciences, Inc.39.05
+0.17+0.44%
Dec 16, 4:00:00 PM EST
Earnings Call Transcripts
This Quarter (Q1 '26)
No earnings call transcript available yet
Last Quarter (Q4 '25)
FY Q4 '25
NCCN snubs data; AD-Tx surges
Q&A highlighted NCCN's head-scratching oversight—citing just 11 of 58 DecisionDx-Melanoma publications—while management preps year-end FDA 510(k) for payer wins via state laws. AdvanceAD-Tx notched 500+ orders from 150 limited accounts in weeks, matching hype. TissueCypher growth organic so far, but PE groups and rep expansion to ~100 eyed for 2026 acceleration. Melanoma volumes set for mid-high single digits. NCCN ignored 47 studies. Candid on hurdles; investors track guidelines, AD ramp, reimbursement.
Key Stats
Market Cap
1.14BP/E (TTM)
-Basic EPS (TTM)
-0.44Dividend Yield
0%Recent Filings
10-K
FY2025 results
Castle Biosciences posted FY2025 net revenues of $344M, up 3.7% y/y, with test reports surging 9.4% to 105K amid TissueCypher nearly doubling to 39K reports while dermatologic volumes rose 7.8%. Q4 accelerated with 27K reports, TissueCypher hitting 11.8K (up sequentially from Q3's 10.6K), signaling strong GI momentum despite DecisionDx-SCC Medicare coverage loss effective April cutting its ASP. Gross margins slipped to 69% from 78% on reimbursement hits and amortization; net loss of $24M followed $18M profit, yet Q4 trends point to resilience. Cash at $300M funds expansions like AdvanceAD-Tx rollout. Medicare reimbursement volatility threatens quarterly flows.
8-K
Core tests up 37%, guides $340-350M
Castle Biosciences reported 2025 revenue of $344.2 million, up 4% but 34% excluding discontinued IDgenetix and impacted DecisionDx-SCC. Core tests DecisionDx-Melanoma and TissueCypher drove 37% test report growth. Core volumes surged. Guides 2026 revenue to $340-350 million amid AdvanceAD-Tx launch.
8-K
Beats revenue guidance
Castle Biosciences beat its 2025 revenue guidance, expecting over $340 million versus $327-335 million guided, fueled by 37% growth in core test reports for DecisionDx-Melanoma and TissueCypher. Year-end cash and investments hit ~$300 million. AdvanceAD-Tx launched limitedly in November, with over 50% of accessed offices ordering. Results are preliminary, pending audit.
8-K
Q3 revenue dips, guidance up
Castle Biosciences reported Q3 2025 revenue of $83 million, down slightly from $85.8 million last year due to the Novitas non-coverage of DecisionDx-SCC and IDgenetix discontinuation, yet non-dermatologic revenue surged 67% on TissueCypher's 75% test volume jump to 10,609 reports. Core drivers DecisionDx-Melanoma and TissueCypher hit 36% higher total reports at 21,068. It launched AdvanceAD-Tx to guide atopic dermatitis treatments. Full-year revenue guidance rose to $327-335 million. Momentum builds despite headwinds.
10-Q
Q3 FY2025 results
Castle Biosciences posted Q3 revenue of $83.0M, down 3.2% y/y but up 4.7% YTD to $257.2M, as TissueCypher volumes surged 74.7% y/y to offset a 25.4% drop in dermatologic revenue from lost Medicare coverage for DecisionDx-SCC starting April 2025. Gross margin slipped to 74.7% from 79.2% y/y, pressured by higher lab costs and amortization, while operating loss widened to $6.8M from $5.1M income, driven by SG&A up 10.7% on sales force expansion. Operating cash flow held at $37.4M YTD, with $85.6M cash and $202.0M investments bolstering liquidity against $10.0M term debt maturing 2028 at ~8% effective rate. In May 2025, the company acquired Capsulomics for $18.7M cash plus up to $2.5M contingent, adding $28.2M developed technology amortized over 12 years. Medicare coverage uncertainty for DecisionDx-SCC lingers amid ongoing appeals.
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