CSTL (Castle Biosciences) ROE %: -12.46% (As of Mar. 2026)


CSTL Castle Biosciences Inc CSTL
72 GF Score
Price $22.57
GF Value $29.15
Valuation Modestly Undervalued
! 4 Warning Signs
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What is Castle Biosciences ROE %?

Castle Biosciences CSTL +2.03% 72 ROE % is -12.46% as of Mar. 2026. GuruFocus rates CSTL with a GF Score™ of 72/100 and a GF Value™ of $29.15 (Modestly Undervalued). The stock has 4 warning signs investors should review. Among 203 Medical Diagnostics & Research companies, Castle Biosciences ranks worse than 53.69% on this metric.

ROE % is calculated as Net Income divided by its average Total Stockholders Equity over a certain period of time. Castle Biosciences's annualized net income for the quarter that ended in Mar. 2026 was $-58.1 Mil. Castle Biosciences's average Total Stockholders Equity over the quarter that ended in Mar. 2026 was $466.1 Mil. Therefore, Castle Biosciences's annualized ROE % for the quarter that ended in Mar. 2026 was -12.46%.

The historical rank and industry rank for Castle Biosciences's ROE % or its related term are showing as below:

CSTL' s ROE % Range Over the Past 10 Years
Min: -16.56   Med: -5.21   Max: 14.06
Current: -2.8

During the past 9 years, Castle Biosciences's highest ROE % was 14.06%. The lowest was -16.56%. And the median was -5.21%.

CSTL's ROE % is ranked worse than
53.69% of 203 companies
in the Medical Diagnostics & Research industry
Industry Median: -1.22 vs CSTL: -2.80

Castle Biosciences  (NAS:CSTL) ROE % Explanation

ROE % measures the rate of return on the ownership interest (shareholder's equity) of the common stock owners. It measures a firm's efficiency at generating profits from every unit of shareholders' equity (also known as net assets or assets minus liabilities). ROE % shows how well a company uses investment funds to generate earnings growth. ROE %s between 15% and 20% are considered desirable.

The factors that affect a company's ROE % can be illustrated with the three-step DuPont Analysis:

ROE %(Q: Mar. 2026 )
=Net Income/Total Stockholders Equity
=-58.088/466.1445
=(Net Income / Revenue )*(Revenue / Total Assets)*(Total Assets / Total Stockholders Equity)
=(-58.088 / 334.716)*(334.716 / 563.1805)*(563.1805 / 466.1445)
=Net Margin %*Asset Turnover*Equity Multiplier
=-17.35 %*0.5943*1.2082
=ROA %*Equity Multiplier
=-10.31 %*1.2082
=-12.46 %

With this breakdown, it is clear that if a company grows its Net Profit Margin, its Asset Turnover, or its Leverage, it can grow its ROE %.

The factors that affect a company's ROE % can also be illustrated with the five-step DuPont Analysis:

ROE %(Q: Mar. 2026 )
=Net Income/Total Stockholders Equity
=-58.088/466.1445
=(Net Income / Pre-Tax Income) * (Pre-Tax Income / Operating Income) * (Operating Income / Revenue) * (Revenue / Total Assets) * (Total Assets / Total Stockholders Equity)
= (-58.088 / -57.652) * (-57.652 / -73.628) * (-73.628 / 334.716) * (334.716 / 563.1805) * (563.1805 / 466.1445)
= Tax Burden * Interest Burden * Operating Margin % * Asset Turnover * Equity Multiplier
= 1.0076 * 0.783 * -22 % * 0.5943 * 1.2082
=-12.46 %

Note: The net income data used here is four times the quarterly (Mar. 2026) net income data. The Revenue data used here is four times the quarterly (Mar. 2026) revenue data. The same rule applies to Pre-Tax Income and Operating Income.
* In the five-step DuPont Analysis, Operating Income is only available for non-financial companies. Thus, for Insurance companies, we use EBIT as a substitution of Operating Income. For Banks, both Operating Income and EBIT is unavailable. Thus we combined Interest Burden and Operating Margin % into Pretax Margin %, and the DuPont Analysis is divided into four components instead.

* 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.


Be Aware

Net Income is used.

Because a company can increase its ROE % by having more financial leverage, it is important to watch the equity multiplier when investing in high ROE % companies. Like ROA %, ROE % is calculated with only 12 months data. Fluctuations in company's earnings or business cycles can affect the ratio drastically. It is important to look at the ratio from a long term perspective.

Asset light businesses require very few assets to generate very high earnings. Their ROE %s can be extremely high.


Castle Biosciences ROE % Related Terms


Castle Biosciences ROE % Historical Data

* Premium members only.

The historical data trend for Castle Biosciences's ROE % 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 % Chart

Castle Biosciences Annual Data
Trend Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
ROE %
Get a 7-Day Free Trial Premium Member Only -7.56 -16.56 -14.54 4.31 -5.21

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 % 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 -23.07 4.04 -0.43 -1.99 -12.46

CSTL vs FLGT, MYGN, PRE: ROE % Comparison

For the Diagnostics & Research subindustry, Castle Biosciences's ROE %, along with its competitors' market caps and ROE % 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 % vs Medical Diagnostics & Research Industry

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

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


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

Castle Biosciences's annualized ROE % for the fiscal year that ended in Dec. 2025 is calculated as

ROE %=Net Income (A: Dec. 2025 )/( (Total Stockholders Equity (A: Dec. 2024 )+Total Stockholders Equity (A: Dec. 2025 ))/ count )
=-24.158/( (455.835+470.873)/ 2 )
=-24.158/463.354
=-5.21 %

Castle Biosciences's annualized ROE % for the quarter that ended in Mar. 2026 is calculated as

ROE %=Net Income (Q: Mar. 2026 )/( (Total Stockholders Equity (Q: Dec. 2025 )+Total Stockholders Equity (Q: Mar. 2026 ))/ count )
=-58.088/( (470.873+461.416)/ 2 )
=-58.088/466.1445
=-12.46 %

* 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.

In the calculation of annual ROE %, the net income of the last fiscal year and the average total shareholder equity over the fiscal year are used. In calculating the quarterly data, the net income data used here is four times the quarterly (Mar. 2026) net income data. ROE % is displayed in the 30-year financial page.

Frequently Asked Questions Learn more about ROE % →
What does a ROE % of -12.46% mean?
Castle Biosciences (CSTL) has a ROE % of -12.46% as of Mar. 2026. Return on equity is the ratio of current-period net income to average two-period total equity. View historical data on Castle Biosciences and its competitors. According to the industry distribution chart, Castle Biosciences ranks #109 out of 203 companies in the Medical Diagnostics & Research industry, placing it in the top 53.7%.
Is Castle Biosciences' ROE % too high?
Castle Biosciences' current ROE % is -12.46%. Based on the distribution chart, Castle Biosciences ranks #109 out of 203 companies in the Medical Diagnostics & Research industry, which is below the industry midpoint. 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 % compare to FLGT and MYGN?
According to the Medical Diagnostics & Research industry distribution chart, Castle Biosciences ranks #109 out of 203 companies for ROE %. This places Castle Biosciences in the lower half of its industry. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good ROE % for a Medical Diagnostics & Research company?
A good ROE % depends on the Medical Diagnostics & Research industry context. However, ROE % 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 % mean?
A high ROE % can signal that a stock is expensive relative to its fundamentals. Return on equity is the ratio of current-period net income to average two-period total equity. View historical data on Castle Biosciences and its competitors. Castle Biosciences's current ROE % is -12.46%. 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 $29.15, compared to a current price of $22.57 — trading 22.6% below its estimated fair value. The current ROE % is -12.46%. 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 % calculated?
ROE % is calculated from a company's financial statements. For Castle Biosciences (CSTL), the current ROE % is -12.46% 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 $22.57 is trading 22.6% below its estimated GF Value™ of $29.15. GuruFocus considers Castle Biosciences to be Modestly Undervalued.

Key valuation signals for CSTL:

  • ROE %: -12.46%
  • GF Value™: $29.15 vs. price of $22.57 (22.6% 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

Get the complete analysis for CSTL

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

$22.57
Price
$29.15
GF Value