Yahoo Finance report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Why CSTL Stock dropped -5.97% Today — RQD Quant Desk Flash
Castle Biosciences Inc. (CSTL) carries a Roarable Rating of C (Hold) with 62/100 RQD Confidence. The composite score sits in the neutral Hold band (59–69), meaning current holders don’t need to panic-sell while prospective buyers can wait for a move into the 70+ Buy zone.
🤖 Mara Quenwick • AI Quant Lead (Click for Instant Brief)
Is CSTL stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
▼
As of 2026-11-03, Castle Biosciences Inc. (NASDAQ: CSTL) is rated C (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 62/100 at a spot price of $34.94 (-5.97% 1D, market cap $1.14B). Pillar breakdown: Fundamental Cash Engine 13/20, Institutional 13F & Options Flow 15/20, SEC Balance-Sheet Forensics 14/20, FRED Macro Regime Fit 13/20, and Executive Insider Alignment 7/20. Across 1015 tracked Health Care issuers, CSTL ranks #151 in composite RQD confidence.
🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief)
How does CSTL compare to LMRI and TRUP in the Health Care sector?
▼
Within the Health Care sector (Medical Specialities), CSTL carries a Roarable C (62/100 RQD), trailing P/E of N/A, gross margin of 79.4%, and ROIC of -9.3%. By comparison, LMRI (Lumexa Imaging Holdings Inc.) holds a D+ grade (53/100 RQD, P/E N/A, ROIC —, cap $1.10B) and TRUP (Trupanion Inc.) posts a C grade (63/100 RQD, P/E 68.2x, ROIC 3.1%, cap $1.32B). Among the 5-stock peer group, TRUP leads on earnings multiple (68.2x) while ALHC leads on capital efficiency (13.9% ROIC).
🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief)
What are the biggest fundamental strengths and SEC risk factors for CSTL?
▼
Per CSTL's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001447362), Castle Biosciences Inc. generated $344.2M in revenue (+3.7% YoY), -$24.2M in net income, and $28.3M in free cash flow against $578.6M in total assets and $9.6M in total debt. Key quantitative strengths: Big institutional funds and options desks are actively positioning on the bullish side. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately. Institutional options positioning shows a 50% call / 50% put premium split.
Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer
20D Institutional Volume Accumulation (±10.1% realized swing band)
Altman Z-Score 6.97 (FORTRESS SAFE (>3.0)) • Piotroski F-Score 6/9
Disciplined Float (+0.16% YoY Shares) & executive Form 4 sales trim 13 pts from alignment
⚔️ Adversarial Opposing Case: Why the CSTL Bull Thesis Could Fail
Even with a 62/100 (C) score, CSTL faces multiple-compression risk if current valuation multiples re-rate toward historical sector medians or if hyperscaler/enterprise customer concentration slows in upcoming 10-Q filings.
Company executives have done more routine share selling than personal cash buying lately.
Dilution & Margin Drag: Disciplined Float (+0.16% YoY Shares) — any gross margin slip below 76.9% triggers an automatic RQD downgrade.
Technical & Forensic Kill-Switch: A daily close below the 50D SMA ($34.38) or 200D SMA ($28.50) invalidates the momentum regime and cuts Target Base ($35.57) toward Bear Floor ($27.74).
Why CSTL Stock dropped -5.97% Today — RQD Quant Desk Flash
Castle Biosciences Inc. (CSTL) dropped -5.97% to $34.94, trading at 65% of its 52-week range ($17.72 – $44.28). Solid 79.4% gross margin (-9% return on capital), mixed timing at current multiples—hold if owned, no rush to chase.
- ▸Technical Tape: Trading at 65% of its 52-week range ($17.72 – $44.28) with RSI-14 at 58.6 (BULLISH MOMENTUM).
- ▸Volatility Profile: Historical 20-day realized swing band of ±10.1% around $34.94 (no active unusual options sweep snapshot on file).
- ▸Fundamental Anchor: Roarable C (Hold) backed by 79.4% gross margin and $28.3M annual free cash flow.
MarketBeat report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
GuruFocus report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Stock Titan report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
TradingView report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Simply Wall St report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Yahoo Finance report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Castle Biosciences, Inc. (Nasdaq: CSTL), a company improving health through innovative tests that guide patient care, today announced that it will release its financial results for the third quarter and nine months ended
Castle Biosciences, Inc. (Nasdaq: CSTL), a company improving health through innovative tests that guide patient care, today announced that new data from three studies evaluating its TissueCypher Barrett's Esophagus (BE)
Scheduled RQD Strong Buys & Whale Accumulation Briefing (CSTL Tape Review)
- ✓Breakdown of the highest-scoring RQD Green-Light breakouts across our 5,200+ rated universe
- ✓Forensic Red-Light accounting & dilution traps to review on your watchlist
- ✓Includes downloadable .ics calendar invite & nightly RQD rating-change email alerts
CSTL Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure
Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).
vs. +3.7% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).
No active Ellis Vennor swing setup published on CSTL today. View full Setup Ledger →
No direct multi-tier Butterfly edges indexed yet for CSTL. Explore sector supply chains on /butterfly.
📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (CSTL)
1. Head-to-Head Health Care Peer Comparison (CSTL vs. LMRI, TRUP, FRNM, ALHC)
Industry: Medical Specialities (41 Tracked Issuers)Across 1015 tracked Health Care securities in the Roarable RQD universe, Castle Biosciences Inc. (CSTL) ranks #151 by composite RQD confidence (62/100, grade C) and #340 by equity capitalization ($1.14B). Within this direct 5-issuer industry benchmark cohort, TRUP leads on earnings valuation at 68.2x trailing P/E, while ALHC leads on capital efficiency and profitability with 13.9% ROIC and — gross margin. TRUP currently holds the highest overall quantitative score in the immediate peer group at 63/100 (C) compared with CSTL at 62/100 (C).
| Ticker / Company | Roarable Grade | RQD Score | Trailing P/E | Gross Margin | ROIC | 1D Change | Market Cap | Head-to-Head |
|---|---|---|---|---|---|---|---|---|
| CSTL
ACTIVE
Castle Biosciences Inc. | C | 62/100 | — | 79.4% | -9.3% | -5.97% | $1.14B | Benchmark Subject |
| LMRI Lumexa Imaging Holdings Inc. | D+ | 53/100 | — | — | — | -2.28% | $1.10B | /lmri-vs-cstl → |
| TRUP Trupanion Inc. | C | 63/100 | 68.2x | 16.1% | 3.1% | +2.06% | $1.32B | /trup-vs-cstl → |
| FRNM Freenome Inc. | E | 31/100 | — | — | -3.4% | -6.97% | $1.34B | /frnm-vs-cstl → |
| ALHC Alignment Healthcare Inc. | D+ | 56/100 | — | — | 13.9% | -3.71% | $1.52B | /alhc-vs-cstl → |
2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)
SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001447362 ↗In its most recent audited fiscal period (FY2025, filed 2025-12-31), Castle Biosciences Inc. (CSTL) reported GAAP revenue of $344.2M (+3.7% vs. FY2024 revenue of $332.1M , and +56.6% cumulative change since FY2023) , GAAP net income of -$24.2M, operating cash flow of $64.3M, and free cash flow of $28.3M (-22.5% YoY). On the balance sheet, CSTL closed FY2025 with $578.6M in total assets against $9.6M in total debt (Altman Z-Score: 6.97, Piotroski F-Score: 6/9).
| Fiscal Period | Filing Date | Revenue | Net Income | Operating Cash Flow | Free Cash Flow | Total Assets | Total Debt |
|---|---|---|---|---|---|---|---|
| FY2025 (FY) | 2025-12-31 | $344.2M | -$24.2M | $64.3M | $28.3M | $578.6M | $9.6M |
| FY2024 (FY) | 2024-12-31 | $332.1M | $18.2M | $64.9M | $36.5M | $531.2M | $9.7M |
| FY2023 (FY) | 2023-12-31 | $219.8M | -$57.5M | -$5.6M | -$5.6M | — | — |
3. CSTL Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)
✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLEDIs CSTL stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
As of 2026-11-03, Castle Biosciences Inc. (NASDAQ: CSTL) is rated C (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 62/100 at a spot price of $34.94 (-5.97% 1D, market cap $1.14B). Pillar breakdown: Fundamental Cash Engine 13/20, Institutional 13F & Options Flow 15/20, SEC Balance-Sheet Forensics 14/20, FRED Macro Regime Fit 13/20, and Executive Insider Alignment 7/20. Across 1015 tracked Health Care issuers, CSTL ranks #151 in composite RQD confidence.
How does CSTL compare to LMRI and TRUP in the Health Care sector?
Within the Health Care sector (Medical Specialities), CSTL carries a Roarable C (62/100 RQD), trailing P/E of N/A, gross margin of 79.4%, and ROIC of -9.3%. By comparison, LMRI (Lumexa Imaging Holdings Inc.) holds a D+ grade (53/100 RQD, P/E N/A, ROIC —, cap $1.10B) and TRUP (Trupanion Inc.) posts a C grade (63/100 RQD, P/E 68.2x, ROIC 3.1%, cap $1.32B). Among the 5-stock peer group, TRUP leads on earnings multiple (68.2x) while ALHC leads on capital efficiency (13.9% ROIC).
What are the biggest fundamental strengths and SEC risk factors for CSTL?
Per CSTL's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001447362), Castle Biosciences Inc. generated $344.2M in revenue (+3.7% YoY), -$24.2M in net income, and $28.3M in free cash flow against $578.6M in total assets and $9.6M in total debt. Key quantitative strengths: Big institutional funds and options desks are actively positioning on the bullish side. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately. Institutional options positioning shows a 50% call / 50% put premium split.
Where is CSTL trading relative to its 50-day, 200-day, and 52-week technical levels?
CSTL last traded at $34.94 (-5.97% on volume of 470,369 shares), positioning the stock +1.63% above its 50-day simple moving average ($34.38) and +22.60% above its 200-day simple moving average ($28.50). Across its 52-week range of $17.72 to $44.28, CSTL sits at the 64.8% percentile with a 14-day RSI of 58.6 (BULLISH MOMENTUM) and an implied next-earnings move of ±10.1% ($31.41 to $38.47).
CSTL — Castle Biosciences Inc.: What the Facts Mean to a Prospective Investor
1. Roarable Rating Brief: What This Means to a Prospective Investor
Castle Biosciences Inc. (CSTL) earns a live Roarable RQD composite score of 62/100, corresponding to a C letter grade (Roarable Hold) at a spot price of $34.94 (-5.97% 1D, market capitalization $1.14B).
- Fundamental Cash Engine (13/20): Anchored by return on invested capital (ROIC) of -9.3%, gross margin of 79.4%, operating margin of -12.4%, and free cash flow yield of 2.41%.
- Whale 13F & Options Flow (15/20) + Insider Conviction (7/20): Tracks institutional 13F accumulation, CBOE options call/put positioning, and SEC Form 4 / Congressional PTR filings.
- Macro Regime Fit (13/20) + Forensic Balance Sheet (14/20): Incorporates a 1.00x equity beta, Altman Z-Score of 6.97, Piotroski F-Score of 6/9, and Debt/Equity of 0.02x.
2. Business Model, Unit Margins & SEC Financial Trajectory
Castle Biosciences Inc. (CSTL) is a NASDAQ-listed issuer in the Health Care sector and Medical Specialities industry. The company reported FY 2025 revenue of $344.2M and a gross margin of 79.4% per the market data section.
In its latest audited SEC EDGAR 10-K filing for FY2025 (filed 2025-12-31), Castle Biosciences Inc. (CSTL) reported $344.2M in annual revenue (up from $332.1M in FY2024, +3.7% YoY) and -$24.2M in GAAP net income. Over the multi-year SEC filing window from FY2023 ($219.8M revenue, -$57.5M net income) through FY2025, CSTL scaled operating cash flow to $64.3M and free cash flow to $28.3M, backed by $578.6M in total assets against $9.6M in total debt.
3. Institutional Bull vs. Bear Thesis & Valuation Tradeoff
- 🐂 Primary Bull Case (C • RQD 62/100): Big institutional funds and options desks are actively positioning on the bullish side. Free cash flow yield of 2.41% and institutional whale pillar of 15/20. With Fundamental Cash Engine at 13/20 and Institutional Whale Flow at 15/20, sustained execution supports upside toward the upper end of the $17.72 – $44.28 52-week range.
- 🐻 Primary Bear Case & Valuation Risk: Company executives have done more routine share selling than personal cash buying lately. Investors must weigh current valuation against -12.4% operating margins and a 1.00x macro beta.
4. 2nd-Order Butterfly Ripples & Key Questions to Watch
The source data therefore does not identify upstream suppliers, downstream customers, or sector correlations.
- Key Question #1: Can CSTL sustain or expand its -12.4% operating margin and -9.3% ROIC against Medical Specialities peers over the next 4 quarters?
- Key Question #2: Following FY2025 revenue of $344.2M and free cash flow of $28.3M, how will capital allocation balance growth reinvestment against $9.6M in total debt?
- Key Question #3: How sensitive is CSTL's equity valuation to Health Care capital spending cycles and macro interest-rate shifts (Beta 1.00x)?
CSTL Live News Feed, Press Releases & Catalyst Wire
Real-time company headlines, analyst actions, and sector developments for Castle Biosciences Inc. (CSTL) • Click "Debate This Headline" to argue it in the Roar Pit below
Yahoo Finance report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
GuruFocus report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Stock Titan report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
TradingView report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Simply Wall St report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
Yahoo Finance report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering Castle Biosciences Inc. (CSTL) market action, institutional positioning, and fundamental catalysts.
CSTL Bull vs. Bear Conversation Board — What's Your Call at $34.94?
Strong balance sheet with Altman Z 6.97, Piotroski F 6/9, and Debt/Equity 0.02, alongside institutional accumulation in the 13F flow pi
Here is why I am bullish on CSTL here at $37.16: Strong balance sheet with Altman Z 6.97, Piotroski F 6/9, and Debt/Equity 0.02, alongside institutional accumulation in the 13F flow pillar.. Compare CSTL's -12.4% operating margin and -9.3% ROIC against the rest of Medical Specialities. As long as cash conversion holds up, dips toward $35.30 are getting bought.
@MultipleCompression Shorting a 15/20 institutional whale-flow stock at $37.16 is dangerous when funds are rotating into Health Care.
Operating margin of -12.4% and ROIC of -9.3%, with FY 2025 operating income of -$42.8M and recurring insider-selling headlines.
Careful chasing CSTL at $37.16. Operating margin of -12.4% and ROIC of -9.3%, with FY 2025 operating income of -$42.8M and recurring insider-selling headlines.. Gross margin is 79.4%, but operating margin is -12.4%, which shows SG&A and reinvestment are eating into bottom-line EPS. Target $27.87 on multiple compression.