Loading...
Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The earnings call presents mixed signals. Financial performance shows increased net loss and higher expenses, which are negative, but improved adjusted EBITDA is positive. The Q&A reveals cautious optimism with consistent growth for TissueCypher and strategic realignments. However, management's vague responses and lack of immediate revenue impact from acquisitions temper the outlook. The guidance for gross margins and revenue growth is moderate, with no major catalysts to significantly sway the stock price in either direction. Given these factors, a neutral stock price movement is expected over the next two weeks.
Revenue $88 million, an increase of 21% year-over-year, driven predominantly by test volume growth for non-dermatologic tests, particularly a 117% increase in TissueCypher test reports.
Adjusted Revenue $87.2 million, an increase of 22% year-over-year, excluding revenue adjustments related to tests delivered in prior periods.
Gross Margin 49.2%, down from 77.9% year-over-year, impacted by a one-time adjustment of approximately $20.1 million in amortization expense related to the discontinuation of IDgenetix.
Adjusted Gross Margin 81.2%, compared to 80.5% year-over-year, showing slight improvement despite the overall gross margin decline.
Total Operating Expenses $115.9 million, compared to $78.4 million year-over-year, primarily due to higher personnel costs and increased sales and marketing expenses.
Sales and Marketing Expense $36.8 million, up from $30.5 million year-over-year, mainly due to higher personnel costs and increased business development activities.
General and Administrative Expenses $21.8 million, compared to $18 million year-over-year, primarily due to higher personnel costs and IT-related expenses.
Cost of Sales Expenses $16.4 million, compared to $13.9 million year-over-year, driven by higher personnel costs and lab services costs.
R&D Expenses $12.6 million, down from $13.8 million year-over-year, primarily due to lower personnel costs.
Net Loss $25.8 million, compared to $2.5 million year-over-year, reflecting increased operating expenses.
Net Loss per Share $0.90, compared to $0.09 year-over-year.
Adjusted Net Loss per Share $0.20, compared to $0.09 year-over-year.
Adjusted EBITDA $13 million, compared to $10.5 million year-over-year, indicating improved operational performance.
Net Cash Used in Operating Activities $6 million, due in part to annual cash bonus payments and certain healthcare benefit payments.
Net Cash Used in Investing Activities $22.4 million, primarily for purchases of marketable investment securities and property and equipment.
Cash, Cash Equivalents and Marketable Securities $275.2 million as of March 31, 2025.
DecisionDx-Melanoma Test Orders: Surpassed 200,000 test orders since launch, with 8,621 test reports delivered in Q1 2025, a 3% increase from Q1 2024.
DecisionDx-SCC Test Reports: Delivered 4,375 test reports in Q1 2025, with ongoing efforts to secure reimbursement.
TissueCypher Test Reports: Delivered 7,432 test reports in Q1 2025, representing 117% year-over-year growth.
Acquisition of Previse: Signed a definitive agreement to acquire Previse, enhancing offerings in the gastrointestinal space.
Revenue Growth: Revenue grew by 21% to $88 million in Q1 2025, driven by test volume growth.
Adjusted Revenue: Adjusted revenue was $87.2 million, a 22% increase over Q1 2024.
Cash Position: Maintained a strong balance sheet with $275 million in cash and equivalents.
Discontinuation of IDgenetix Test: Decided to discontinue the IDgenetix test effective May 2025 to focus resources on other areas.
Regulatory Issues: The Novitas Local Coverage Determination policy that included noncoverage language for DecisionDx-SCC went into effect on April 24, 2025. The company plans to pursue reconsideration requests for this policy.
Competitive Pressures: The company is facing competitive pressures in the market, particularly in the gastrointestinal health sector, as they expand their offerings and seek to maintain their position.
Supply Chain Challenges: There are potential supply chain challenges related to the integration of Previse and the ongoing demand for their tests, which may impact operational efficiency.
Economic Factors: The company is navigating economic factors that could affect reimbursement rates and overall market conditions, impacting their financial outlook.
Financial Performance Risks: The company reported a significant net loss of $25.8 million for Q1 2025, which raises concerns about financial sustainability and the ability to maintain growth.
Investment Risks: The company has made substantial investments in marketable securities and property, which could pose risks if market conditions change adversely.
Acquisition of Previse: Castle Biosciences signed a definitive agreement to acquire Previse, a gastrointestinal health company focused on esophageal disorders, to strengthen its position in the GI space.
Growth Initiatives: The company is committed to executing growth initiatives, including expanding its offerings within the GI vertical and enhancing its commercial team.
DecisionDx-Melanoma Test: The DecisionDx-Melanoma test has surpassed 200,000 test orders, indicating strong adoption and potential for continued growth.
TissueCypher Test Growth: TissueCypher test reports grew by 117% year-over-year, reflecting strong demand and clinical utility.
2025 Revenue Guidance: Castle raised its revenue guidance for 2025 to a range of $287 million to $297 million, up from the previous range of $280 million to $295 million.
Gross Margin Expectations: The company expects gross margin for the remaining quarters of 2025 to be in the mid-70s range.
DecisionDx-Melanoma Volume Growth: Anticipated high single-digit volume growth for DecisionDx-Melanoma for the full year 2025 compared to 2024.
Net Cash Flow Expectations: Castle expects to deliver positive net cash flow from operations for the full year 2025.
Shareholder Return Plan: Castle Biosciences has not announced any share buyback program or dividend program during this earnings call.
The earnings call presents mixed signals: positive revenue growth and pipeline developments are countered by declining margins, increased expenses, and a net loss. The raised revenue guidance is a positive sign, but the lack of clarity on reimbursement pathways and flat SCC volumes temper enthusiasm. The Q&A reveals some analyst concerns, particularly regarding reimbursement and FDA approval impacts. The absence of a market cap limits prediction accuracy, but the overall sentiment leans towards neutral, given the balancing of positive growth prospects against financial pressures and uncertainties.
The earnings call summary and Q&A indicate positive sentiment, driven by raised revenue guidance, strong growth in TissueCypher and DecisionDx-Melanoma tests, and optimistic future cash flow expectations. Despite some uncertainties in FDA submission timelines and reimbursement pathways, the overall outlook is upbeat. The company's strategic initiatives and growth potential in the GI space further bolster confidence. The market is likely to react positively, with stock price expected to rise by 2% to 8% over the next two weeks.
The earnings call presents mixed signals. Financial performance shows increased net loss and higher expenses, which are negative, but improved adjusted EBITDA is positive. The Q&A reveals cautious optimism with consistent growth for TissueCypher and strategic realignments. However, management's vague responses and lack of immediate revenue impact from acquisitions temper the outlook. The guidance for gross margins and revenue growth is moderate, with no major catalysts to significantly sway the stock price in either direction. Given these factors, a neutral stock price movement is expected over the next two weeks.
The company reported a significant increase in revenue and net income, transitioning from a net loss to a profit. Despite a slight decline in quarterly gross margins, full-year margins improved. The Q&A highlighted growth potential and strategic focus on existing and new verticals. While management avoided specifics on some issues, the overall financial performance and optimistic outlook, including a positive adjusted EBITDA forecast, suggest a positive sentiment. However, the lack of specific guidance on some metrics and potential reimbursement issues could temper enthusiasm, resulting in a moderate positive impact.
All transcripts are sourced directly from the official live webcast or the company’s official investor relations website. We use the exact words spoken during the call with no paraphrasing of the core discussion.
Full verbatim transcripts are typically published within 4–12 hours after the call ends. Same-day availability is guaranteed for all S&P 500 and most mid-cap companies.
No material content is ever changed or summarized in the “Full Transcript” section. We only correct obvious spoken typos (e.g., “um”, “ah”, repeated 10 times”, or clear misspoken ticker symbols) and add speaker names/titles for readability. Every substantive sentence remains 100% as spoken.
When audio quality is poor or multiple speakers talk over each other, we mark the section instead of guessing. This ensures complete accuracy rather than introducing potential errors.
They are generated by a specialized financial-language model trained exclusively on 15+ years of earnings transcripts. The model extracts financial figures, guidance, and tone with 97%+ accuracy and is regularly validated against human analysts. The full raw transcript always remains available for verification.