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Side-by-side financial comparison of Caris Life Sciences, Inc. (CAI) and CASTLE BIOSCIENCES INC (CSTL). Click either name above to swap in a different company.

Caris Life Sciences, Inc. is the larger business by last-quarter revenue ($216.8M vs $87.0M, roughly 2.5× CASTLE BIOSCIENCES INC). On growth, Caris Life Sciences, Inc. posted the faster year-over-year revenue change (113.4% vs 0.8%). Caris Life Sciences, Inc. produced more free cash flow last quarter ($55.3M vs $19.7M).

Caris Life Sciences is a leading precision medicine biotech company specializing in advanced molecular profiling for oncology. It provides actionable genomic and molecular insights to oncologists to personalize cancer treatment plans, and partners with biopharmaceutical firms to accelerate novel cancer drug discovery and development, serving customers across North America, Europe, and key Asia-Pacific markets.

Castle Biosciences Inc. is a commercial-stage diagnostic firm that develops and markets proprietary, clinically actionable tests for dermatological conditions such as melanoma and other skin cancers, plus rare diseases. It operates mainly in the U.S. healthcare market, focusing on segments with high unmet need for more accurate diagnostics to guide treatment choices.

CAI vs CSTL — Head-to-Head

Bigger by revenue
CAI
CAI
2.5× larger
CAI
$216.8M
$87.0M
CSTL
Growing faster (revenue YoY)
CAI
CAI
+112.6% gap
CAI
113.4%
0.8%
CSTL
More free cash flow
CAI
CAI
$35.6M more FCF
CAI
$55.3M
$19.7M
CSTL

Income Statement — Q3 2025 vs Q4 2025

Metric
CAI
CAI
CSTL
CSTL
Revenue
$216.8M
$87.0M
Net Profit
$24.3M
Gross Margin
79.0%
Operating Margin
15.1%
-4.4%
Net Margin
11.2%
Revenue YoY
113.4%
0.8%
Net Profit YoY
135.9%
EPS (diluted)
$0.08
$-0.06

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
CAI
CAI
CSTL
CSTL
Q4 25
$87.0M
Q3 25
$216.8M
$83.0M
Q2 25
$181.4M
$86.2M
Q1 25
$88.0M
Q4 24
$86.3M
Q3 24
$101.6M
$85.8M
Q2 24
$100.0M
$87.0M
Q1 24
$73.0M
Net Profit
CAI
CAI
CSTL
CSTL
Q4 25
Q3 25
$24.3M
$-501.0K
Q2 25
$-71.8M
$4.5M
Q1 25
$-25.8M
Q4 24
Q3 24
$-67.7M
$2.3M
Q2 24
$-66.2M
$8.9M
Q1 24
$-2.5M
Gross Margin
CAI
CAI
CSTL
CSTL
Q4 25
79.0%
Q3 25
77.5%
Q2 25
79.5%
Q1 25
81.4%
Q4 24
81.3%
Q3 24
81.8%
Q2 24
83.3%
Q1 24
81.0%
Operating Margin
CAI
CAI
CSTL
CSTL
Q4 25
-4.4%
Q3 25
15.1%
-8.2%
Q2 25
-9.9%
-4.9%
Q1 25
-31.7%
Q4 24
4.7%
Q3 24
-59.9%
5.9%
Q2 24
-67.0%
5.8%
Q1 24
-7.5%
Net Margin
CAI
CAI
CSTL
CSTL
Q4 25
Q3 25
11.2%
-0.6%
Q2 25
-39.6%
5.2%
Q1 25
-29.4%
Q4 24
Q3 24
-66.6%
2.6%
Q2 24
-66.2%
10.3%
Q1 24
-3.5%
EPS (diluted)
CAI
CAI
CSTL
CSTL
Q4 25
$-0.06
Q3 25
$0.08
$-0.02
Q2 25
$-7.97
$0.15
Q1 25
$-0.90
Q4 24
$0.32
Q3 24
$-2.59
$0.08
Q2 24
$-2.54
$0.31
Q1 24
$-0.09

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
CAI
CAI
CSTL
CSTL
Cash + ST InvestmentsLiquidity on hand
$755.5M
$299.5M
Total DebtLower is stronger
$375.9M
$10.1M
Stockholders' EquityBook value
$478.4M
$470.9M
Total Assets
$984.6M
$578.6M
Debt / EquityLower = less leverage
0.79×
0.02×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CAI
CAI
CSTL
CSTL
Q4 25
$299.5M
Q3 25
$755.5M
$287.5M
Q2 25
$721.2M
$275.9M
Q1 25
$275.2M
Q4 24
$293.1M
Q3 24
$95.0M
Q2 24
$85.6M
Q1 24
$82.9M
Total Debt
CAI
CAI
CSTL
CSTL
Q4 25
$10.1M
Q3 25
$375.9M
$10.0M
Q2 25
$373.4M
$10.0M
Q1 25
$10.0M
Q4 24
$10.0M
Q3 24
$10.0M
Q2 24
$10.0M
Q1 24
$10.0M
Stockholders' Equity
CAI
CAI
CSTL
CSTL
Q4 25
$470.9M
Q3 25
$478.4M
$467.0M
Q2 25
$452.9M
$455.4M
Q1 25
$440.3M
Q4 24
$455.8M
Q3 24
$-2.4B
$441.1M
Q2 24
$-2.4B
$423.9M
Q1 24
$402.5M
Total Assets
CAI
CAI
CSTL
CSTL
Q4 25
$578.6M
Q3 25
$984.6M
$562.8M
Q2 25
$955.1M
$544.7M
Q1 25
$501.7M
Q4 24
$531.2M
Q3 24
$514.6M
Q2 24
$487.3M
Q1 24
$458.5M
Debt / Equity
CAI
CAI
CSTL
CSTL
Q4 25
0.02×
Q3 25
0.79×
0.02×
Q2 25
0.82×
0.02×
Q1 25
0.02×
Q4 24
0.02×
Q3 24
0.02×
Q2 24
0.02×
Q1 24
0.02×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
CAI
CAI
CSTL
CSTL
Operating Cash FlowLast quarter
$62.4M
$26.9M
Free Cash FlowOCF − Capex
$55.3M
$19.7M
FCF MarginFCF / Revenue
25.5%
22.7%
Capex IntensityCapex / Revenue
3.3%
8.3%
Cash ConversionOCF / Net Profit
2.57×
TTM Free Cash FlowTrailing 4 quarters
$28.3M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
CAI
CAI
CSTL
CSTL
Q4 25
$26.9M
Q3 25
$62.4M
$22.6M
Q2 25
$20.8M
Q1 25
$-6.0M
Q4 24
$24.4M
Q3 24
$23.3M
Q2 24
$24.0M
Q1 24
$-6.8M
Free Cash Flow
CAI
CAI
CSTL
CSTL
Q4 25
$19.7M
Q3 25
$55.3M
$7.8M
Q2 25
$11.6M
Q1 25
$-10.8M
Q4 24
$16.8M
Q3 24
$17.0M
Q2 24
$18.8M
Q1 24
$-16.0M
FCF Margin
CAI
CAI
CSTL
CSTL
Q4 25
22.7%
Q3 25
25.5%
9.4%
Q2 25
13.4%
Q1 25
-12.2%
Q4 24
19.5%
Q3 24
19.8%
Q2 24
21.6%
Q1 24
-21.9%
Capex Intensity
CAI
CAI
CSTL
CSTL
Q4 25
8.3%
Q3 25
3.3%
17.9%
Q2 25
10.7%
Q1 25
5.4%
Q4 24
8.8%
Q3 24
7.4%
Q2 24
6.0%
Q1 24
12.5%
Cash Conversion
CAI
CAI
CSTL
CSTL
Q4 25
Q3 25
2.57×
Q2 25
4.60×
Q1 25
Q4 24
Q3 24
10.29×
Q2 24
2.69×
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

CAI
CAI

Molecular Profiling Services$207.6M96%
Pharma Research And Development Services$9.2M4%

CSTL
CSTL

Dermatologic$48.6M56%
Non Dermatologic$38.4M44%

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