The company maintains a conservative capital structure with a debt-to-equity ratio of 0.08, though goodwill has risen to $97.3 million, representing a significant portion of total assets.
| Total Current Assets | 328.9M | 361.1M | 360.15M | 295.63M | 292.29M | 353.74M | 429.59M | 116.68M | 18.13M | 6.68M |
| Cash & Short-Term Investments | 261.69M | 299.5M | 293.13M | 243.1M | 258.63M | 329.63M | 409.85M | 98.84M | 4.48M | 1.21M |
| Cash Only | 63.76M | 116.73M | 119.71M | 98.84M | 122.95M | 329.63M | 409.85M | 98.84M | 4.48M | 1.21M |
| Short-Term Investments | 197.92M | 182.78M | 173.42M | 144.26M | 135.68M | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 42.26M | 43.38M | 51.22M | 38.3M | 23.48M | 17.28M | 12.76M | 14.65M | 12.09M | 4.65M |
| Days Sales Outstanding | 50.32 | 46 | 56.3 | 63.61 | 62.53 | 67.05 | 74.34 | 103.09 | 193.67 | 123.46 |
| Inventory | 10.46M | 10.25M | 8.13M | 7.94M | 3.98M | 2.02M | 2.22M | 1.24M | 882.23K | 304.58K |
| Days Inventory Outstanding | 63.01 | 52.69 | 49.32 | 64.44 | 45.38 | 46.62 | 83.55 | 61.77 | 60.79 | 22.59 |
| Other Current Assets | 14.49M | 7.96M | 7.67M | 6.29M | 6.21M | 0 | 0 | 0 | 0 | 0 |
| Total Non-Current Assets | 218.9M | 217.46M | 171.08M | 157.71M | 155.04M | 108.83M | 9.73M | 3.06M | 4.28M | 3.14M |
| Property, Plant & Equipment | 115.36M | 112.24M | 62.71M | 37.74M | 26.5M | 16.88M | 7.1M | 2.06M | 1.53M | 1.47M |
| Fixed Asset Turnover | 3.26x | 3.07x | 5.30x | 5.82x | 5.17x | 5.57x | 8.82x | 25.18x | 14.90x | 9.36x |
| Goodwill | 97.35M | 99.57M | 10.69M | 10.69M | 10.69M | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 0 | 0 | 95.54M | 106.64M | 115.66M | 88.92M | 0 | 0 | 4.17K | 40.12K |
| Long-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2.53M | 1.56M |
| Other Non-Current Assets | 6.2M | 5.65M | 2.15M | 2.63M | 2.2M | 3.02M | 2.63M | 1M | 2.75M | 1.63M |
| Total Assets | 547.8M | 578.56M | 531.24M | 453.34M | 447.33M | 462.57M | 439.33M | 119.75M | 22.4M | 9.82M |
| Asset Turnover | 0.61x | 0.59x | 0.63x | 0.48x | 0.31x | 0.20x | 0.14x | 0.43x | 1.02x | 1.40x |
| Asset Growth % | 39.25% | 8.91% | 17.18% | 1.34% | -3.3% | 5.29% | 266.88% | 434.46% | 128.15% | - |
| Total Current Liabilities | 48.76M | 68.68M | 49.39M | 47.67M | 36.13M | 24.89M | 20.88M | 15.29M | 6.74M | 5.22M |
| Accounts Payable | 15.04M | 18.71M | 6.9M | 10.27M | 4.73M | 2.55M | 2.1M | 1.86M | 1.45M | 1.12M |
| Days Payables Outstanding | 98.76 | 96.15 | 41.84 | 83.32 | 53.95 | 58.73 | 79.07 | 93.12 | 99.99 | 82.82 |
| Short-Term Debt | 2.92M | 1.74M | 278K | 0 | 0 | 0 | 0 | 5.83M | 0 | 1M |
| Deferred Revenue (Current) | 0 | 0 | 0 | 0 | 0 | 0 | 6.62M | 0 | 0 | 9.73K |
| Other Current Liabilities | 30.8M | 48.22M | 774K | 30.69M | 25.67M | 16.91M | 10M | 6M | 706.64K | 0 |
| Current Ratio | 6.75x | 5.26x | 7.29x | 6.20x | 8.09x | 14.21x | 20.58x | 7.63x | 2.69x | 1.28x |
| Quick Ratio | 6.53x | 5.11x | 7.13x | 6.04x | 7.98x | 14.13x | 20.47x | 7.55x | 2.56x | 1.22x |
| Cash Conversion Cycle | 14.57 | 2.54 | 63.78 | 44.73 | 53.96 | 54.93 | 78.82 | 71.73 | 154.47 | 63.23 |
| Total Non-Current Liabilities | 37.63M | 39.01M | 26.01M | 14.4M | 12.05M | 25.95M | 2.76M | 19.34M | 25.74M | 18.87M |
| Long-Term Debt | 33.8M | 35.17M | 9.74M | 0 | 0 | 0 | 0 | 19.29M | 24.5M | 17.6M |
| Capital Lease Obligations | 51.38M | 0 | 14.66M | 14.2M | 11.62M | 7.02M | 0 | 0 | 0 | 0 |
| Deferred Tax Liabilities | 7.79M | 2.33M | 1.61M | 206K | 428K | 635K | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 1.5M | 1.5M | 0 | 0 | 0 | 18.29M | 1.03M | 55K | 1.24M | 1.27M |
| Total Liabilities | 86.39M | 107.68M | 75.4M | 62.07M | 48.18M | 50.83M | 23.64M | 34.63M | 32.47M | 24.09M |
| Total Debt | 36.72M | 36.91M | 26.34M | 15.34M | 13.4M | 8.2M | 0 | 25.12M | 24.5M | 18.6M |
| Net Debt | -27.04M | -79.82M | -93.36M | -83.51M | -109.55M | -321.43M | -409.85M | -73.72M | 20.02M | 17.39M |
| Debt / Equity | 0.08x | 0.08x | 0.06x | 0.04x | 0.03x | 0.02x | - | 0.30x | - | - |
| Debt / EBITDA | -2.23x | - | 1.07x | - | - | - | - | 3.27x | - | - |
| Net Debt / EBITDA | 1.64x | - | -3.79x | - | - | - | - | -9.59x | - | - |
| Interest Coverage | 270.94x | -342.19x | 38.37x | -5214.00x | -4052.18x | -40011.00x | -2.87x | 2.17x | -1.80x | -6.49x |
| Total Equity | 461.42M | 470.87M | 455.83M | 391.27M | 399.15M | 411.74M | 415.69M | 85.11M | -10.07M | -14.27M |
| Equity Growth % | 21.41% | 3.3% | 16.5% | -1.97% | -3.06% | -0.95% | 388.4% | 945.28% | 29.44% | - |
| Book Value per Share | 15.44 | 16.24 | 15.58 | 14.60 | 15.32 | 16.38 | 21.96 | 9.83 | -0.95 | -1.46 |
| Total Shareholders' Equity | 461.42M | 470.87M | 455.83M | 391.27M | 399.15M | 411.74M | 415.69M | 85.11M | -10.07M | -14.27M |
| Common Stock | 30K | 30K | 28K | 27K | 27K | 25K | 25K | 17K | 1.92K | 1.9K |
| Retained Earnings | -238.81M | -224.28M | -200.13M | -218.37M | -160.91M | -93.77M | -62.5M | -52.21M | -57.49M | -51.12M |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -2.42M | -809.6K |
| Accumulated OCI | -63K | 267K | 230K | 136K | -381K | 0 | 0 | 0 | -909.38K | -638.47K |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Medicare reimbursement policy volatility
According to recent financial filings, Castle Biosciences has seen total assets grow to $547.8 million as of 2026Q1, yet this expansion is largely offset by a persistent accumulation of retained earnings deficits, which reached -$238.8 million, signaling a reliance on external financing to sustain operations.
The trajectory of the balance sheet suggests a company prioritizing infrastructure and market reach over immediate capital preservation. Investors should monitor whether the growth in asset intensity can eventually translate into a reversal of the multi-year trend of deepening retained earnings losses.
As reported in quarterly statements, Castle Biosciences' net PPE has climbed to $115.4 million in 2026Q1, while goodwill surged to $97.3 million, indicating that the firm is increasingly reliant on both physical laboratory capacity and acquired intangible assets to maintain its competitive diagnostic platform.
The significant increase in goodwill suggests that recent inorganic growth strategies are now a material component of the asset base, warranting scrutiny regarding potential future impairment risks. The concurrent rise in PPE reflects the high fixed-cost nature of the business, which may limit flexibility if test volumes fail to meet expectations.
Based on the company's reported figures, the cash position declined to $63.8 million in 2026Q1 from a peak of $119.7 million in 2024Q4, resulting in a current ratio of 6.75 that, while seemingly robust, masks the underlying cash burn required to support ongoing diagnostic operations.
While the current ratio remains high, the rapid depletion of cash reserves suggests that the company's liquidity runway is tightening. This trend warrants further investigation into the sustainability of current operating expenses, especially if reimbursement headwinds continue to pressure cash inflows.
As evidenced by the 2026Q1 balance sheet, total debt stands at $36.7 million with a debt-to-equity ratio of 0.08, indicating that the company has maintained a conservative leverage profile despite the significant capital requirements of its diagnostic business model and ongoing negative cash flows.
The low debt-to-equity ratio suggests that management has avoided excessive reliance on credit markets, opting instead to manage capital through equity-linked growth. However, the lack of significant debt may also imply limited access to non-dilutive financing, forcing the company to remain sensitive to equity market conditions for future capital needs.
Analysis of the balance sheet reveals that the $97.3 million in goodwill, which represents a substantial portion of total assets, may be vulnerable to impairment if the clinical utility of acquired diagnostic segments does not meet long-term revenue projections, according to recent regulatory filings.
Investors should be wary that the headline equity figure is heavily influenced by these intangible assets, which are inherently subjective and subject to periodic testing. A negative shift in the reimbursement landscape for these specific diagnostic tests could necessitate a write-down, further straining the company's capital position.
Quick answers to the most common questions about buying CSTL stock.
As of 2025, Castle Biosciences, Inc. (CSTL) had total assets of $578.6M including $361.1M in current assets.
Castle Biosciences, Inc. (CSTL) carries total debt of $36.9M, offset by $299.5M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Castle Biosciences, Inc. (CSTL) has total shareholders' equity (book value) of $470.9M ($16.24 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Castle Biosciences, Inc. (CSTL) reported a current ratio of 5.26x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.