CSTLCastle Biosciences, Inc.

$33.18+40% 1Y

Is it safe?

Watch

Caution warranted: heavy debt (BB) and big price swings.

2 to watch, 1 neutral, 3 without data
Insider conviction-$1.1MSEC EDGAR · Oct 22, 2026

Insiders were net sellers (-$1.1M, 90 days to Oct 22, 2026), selling is often routine.

Credit gradeBBderived · Jun 30, 2026

Net cash, but unprofitable, speculative. A rule of thumb on leverage, not a credit rating.

Drawdown risk58% volderived · Oct 23, 2026

Large price swings, high volatility. Worst drawdown -88% · now 23% below its 52-week high.

Where this answer is blind. Altman sits structurally low for utilities and pipelines; Beneish runs high for fast growers, since sales growth alone lifts it; banks and REITs are excluded.

Can CSTL take a bad year?

Castle Biosciences, Inc. holds $257M more cash than debt, and is burning $122K a quarter, about 545.6 years of cover.

$257M

Net cash · as at Q2 2026 · cash and short-term investments less total debt

Net debt / EBITDA
net cash

Net debt / EBITDA · no net borrowings to measure against earnings

Cash runway
5+ years

Cash runway · burning $122K a quarter at the current rate

Annualised volatility
58%

Annualised volatility · S&P 500 16% · about 4 times the market's own swing

Details›
Total debtQ2 2026
$10M
Cash and short-term investments
$267M
Net cash
$257M
EBITDA, trailing twelve months
−$21M
Operating profit, trailing twelve months
−$32M
Debt / equity
0.02×
Annualised volatilitytwo years of daily moves
58%
Worst drawdown on file
−88%
Below its 52-week high
23%

Balance sheet from SEC filings; drawdown and volatility from end-of-day closes; Altman Z from the filed statements.

The balance sheet

What it owes against what it owns, and how close that comes to trouble.

How far can it fall?

How much the price moves, how deep and how long its falls have run, and what each unit of risk has paid.