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Castle Biosciences (CSTL) Q3 2025 earnings results (third quarter 2025)

10-Q filed Nov 3, 2025

Castle Biosciences (CSTL) reported revenue of $83.0M for the third quarter 2025 (Q3 2025), -3% from a year earlier and -4% from the quarter before. Operating margin was -8.2%, net loss $501K (0.6% of revenue).

Revenue$83.0M
Year over year-3%
Quarter over quarter-4%
Operating margin-8.2%
Net earnings−$501K

Castle Biosciences, Q3 2025: revenue $83.0M (-3% year over year), operating margin -8.2%, net loss $501K, operating cash flow $22.6M. The chart follows the revenue to costs, profit and cash.

Q3 2025AmountQ/QY/Y
Revenue$83.0M-4%-3%
Operating profit−$6.8M——
Net earnings−$501K-111%—
Operating cash flow$22.6M+9%-3%
Free cash flow$7.8M-33%-54%

What changed

Revenue was $83.0M in Q3 2025, down 3% year over year and down 4% from the previous quarter. Dermatologic was the largest line at 58% of revenue. Dermatologic lost $16.5M year over year (down 25%), 604% of the total change.

Operating costs exceeded revenue by $6.8M, an operating margin of -8.2%. Total costs grew 11% against a revenue fall of 3%. The fastest-growing cost line was Cost of revenue (+20%). The quarter ended with a net loss of $501K, after a profit of $4.5M the previous quarter. Non-operating items added $6.4M, -1663% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was $22.6M (down 3% year over year). Non-cash charges added back $3.8M of depreciation and amortization and $12.1M of share-based compensation. Working capital and other items added $7.2M. Capital expenditures of $14.8M left free cash flow of $7.8M.

Questions

What was Castle Biosciences' revenue in the third quarter 2025?

Castle Biosciences (CSTL) reported revenue of $83.0M for the third quarter 2025 (Q3 2025), -3% from a year earlier and -4% from the quarter before.

Was Castle Biosciences profitable in the third quarter 2025?

Operating loss was $6.8M (-8.2% of revenue) and net loss $501K.

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Source: Castle Biosciences 10-Q on SEC EDGAR.