CSTL (Castle Biosciences) ROE % Adjusted to Book Value: -7.74% (As of Mar. 2026)


CSTL Castle Biosciences Inc CSTL
72 GF Score
Price $24.21
GF Value $29.16
Valuation Modestly Undervalued
! 4 Warning Signs
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What is Castle Biosciences ROE % Adjusted to Book Value?

Castle Biosciences CSTL +6.07% 72 ROE % Adjusted to Book Value is -7.74% as of Mar. 2026. GuruFocus rates CSTL with a GF Score™ of 72/100 and a GF Value™ of $29.16 (Modestly Undervalued). The stock has 4 warning signs investors should review.

Castle Biosciences's ROE % for the quarter that ended in Mar. 2026 was -12.46%. Castle Biosciences's PB Ratio for the quarter that ended in Mar. 2026 was 1.61. Castle Biosciences's ROE % Adjusted to Book Value for the quarter that ended in Mar. 2026 was -7.74%.


Castle Biosciences ROE % Adjusted to Book Value Related Terms


Castle Biosciences ROE % Adjusted to Book Value Historical Data

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The historical data trend for Castle Biosciences's ROE % Adjusted to Book Value can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Castle Biosciences ROE % Adjusted to Book Value Chart

Castle Biosciences Annual Data
Trend Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
ROE % Adjusted to Book Value
Get a 7-Day Free Trial Premium Member Only -2.86 -10.55 -9.63 2.58 -2.13

Castle Biosciences Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
ROE % Adjusted to Book Value Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only -17.61 3.11 -0.30 -0.81 -7.74

CSTL vs FLGT, MYGN, PRE: ROE % Adjusted to Book Value Comparison

For the Diagnostics & Research subindustry, Castle Biosciences's ROE % Adjusted to Book Value, along with its competitors' market caps and ROE % Adjusted to Book Value data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Castle Biosciences ROE % Adjusted to Book Value vs Medical Diagnostics & Research Industry

For the Medical Diagnostics & Research industry and Healthcare sector, Castle Biosciences's ROE % Adjusted to Book Value distribution charts can be found below:

* The bar in red indicates where Castle Biosciences's ROE % Adjusted to Book Value falls into.


CSTL
72GF Score
Castle Biosciences Inc CSTL
ROE % Adjusted to Book Value is just one metric. See GF Score™, valuation, warning signs, and more.
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Castle Biosciences ROE % Adjusted to Book Value Calculation

Castle Biosciences's ROE % Adjusted to Book Value for the fiscal year that ended in Dec. 2025 is calculated as

ROE % Adjusted to Book Value=ROE % / PB Ratio
=-5.21% / 2.45
=-2.13%

Castle Biosciences's ROE % Adjusted to Book Value for the quarter that ended in Mar. 2026 is calculated as

ROE % Adjusted to Book Value=ROE % / PB Ratio
=-12.46% / 1.61
=-7.74%

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

What does a ROE % Adjusted to Book Value of -7.74% mean?
Castle Biosciences (CSTL) has a ROE % Adjusted to Book Value of -7.74% as of Mar. 2026. Return on equity adjusted to book is the ratio of return on equity to price-book ratio. View historical data on Castle Biosciences and its competitors.
Is Castle Biosciences' ROE % Adjusted to Book Value too high?
Castle Biosciences' current ROE % Adjusted to Book Value is -7.74%. Overall, Castle Biosciences has a GF Score™ of 72/100 and is considered Modestly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Castle Biosciences' ROE % Adjusted to Book Value compare to FLGT and MYGN?
Castle Biosciences' ROE % Adjusted to Book Value of -7.74% can be compared against companies in the Medical Diagnostics & Research industry. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good ROE % Adjusted to Book Value for a Medical Diagnostics & Research company?
A good ROE % Adjusted to Book Value depends on the Medical Diagnostics & Research industry context. However, ROE % Adjusted to Book Value should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high ROE % Adjusted to Book Value mean?
A high ROE % Adjusted to Book Value can signal that a stock is expensive relative to its fundamentals. Return on equity adjusted to book is the ratio of return on equity to price-book ratio. View historical data on Castle Biosciences and its competitors. Castle Biosciences's current ROE % Adjusted to Book Value is -7.74%. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Castle Biosciences stock overvalued right now?
Based on GuruFocus' analysis, Castle Biosciences (CSTL) is currently considered Modestly Undervalued. The stock's GF Value™ is $29.16, compared to a current price of $24.21 — trading 17% below its estimated fair value. The current ROE % Adjusted to Book Value is -7.74%. Castle Biosciences' overall GF Score™ is 72/100 with 4 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is ROE % Adjusted to Book Value calculated?
ROE % Adjusted to Book Value is calculated from a company's financial statements. For Castle Biosciences (CSTL), the current ROE % Adjusted to Book Value is -7.74% as of Mar. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Castle Biosciences (CSTL) Overvalued in 2026?

Based on GuruFocus' analysis, Castle Biosciences stock appears to be undervalued. The current stock price of $24.21 is trading 17% below its estimated GF Value™ of $29.16. GuruFocus considers Castle Biosciences to be Modestly Undervalued.

Key valuation signals for CSTL:

  • ROE % Adjusted to Book Value: -7.74%
  • GF Value™: $29.16 vs. price of $24.21 (17% below fair value)
  • GF Score™: 72/100 with 4 warning signs

No single metric tells the full story. See the CSTL stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Castle Biosciences Business Description

Other Exchanges 086:Germany
Address 1500 West Parkwood Avenue, Suite 401, Friendswood, TX, USA, 77546
Castle Biosciences Inc is a molecular diagnostics company. The group provides test solutions for the diagnosis and treatment of dermatologic cancers, Barrett's esophagus (BE), and uveal melanoma. The product portfolio of the company includes DecisionDx-Melanoma, a risk stratification gene expression profile (GEP) test; DecisionDx-SCC, a risk stratification test for cutaneous squamous cell carcinoma; MyPath Melanoma, a diagnostic GEP test for use in patients with difficult-to-diagnose melanocytic lesions; and TissueCypher, a test to predict future development of progression of high-grade dysplasia and/or esophageal cancer. The company derives revenues through the delivery of test reports for its molecular diagnostic tests.
72GF Score

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ROE % Adjusted to Book Value is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

$24.21
Price
$29.16
GF Value